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ALEXIS COLLINS CHILDRENS DENTISTRY NPI 1851662274


NPI Information

NPI: 1851662274
Provider Name: ALEXIS COLLINS CHILDRENS DENTISTRY
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
392 SAINT ANDREWS RD
COLUMBIA, SC
ZIP 29210
Phone: (803) 772-7302
Get Directions

ALEXIS COLLINS CHILDRENS DENTISTRY is a pediatric dentistry dentist in Columbia, SC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ALEXIS COLLINS CHILDRENS DENTISTRY NPI is 1851662274. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

392 SAINT ANDREWS RD
COLUMBIA, SC
ZIP 29210-427
Phone: (803) 772-7302
Fax: (803) 772-7353

The provider's authorized official is Alexis Collins .
The authorized official title is Owner and has the following contact phone number (803) 772-7302.

The enumeration date for this NPI number is 1/17/2012 and was last updated on 12/30/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry4507SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZX4507MEDICAIDSOUTH CAROLINA
2Z17072MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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