MIDLANDS DENTAL GROUP P.L. NPI 1942261110

NPI Information

NPI: 1942261110
Provider Name: MIDLANDS DENTAL GROUP, P.L.

Doing Business As: DRS. ELLIS GREEN AND GREEN

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
8905 TWO NOTCH RD
COLUMBIA, SC
ZIP 29223
Phone: (803) 788-9593
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MIDLANDS DENTAL GROUP, P.L. is a dental clinic center in Columbia, SC. MIDLANDS DENTAL GROUP, P.L. NPI is 1942261110. The provider is registered as an organization entity type.
The provider Is Doing Business As Drs. Ellis Green And Green.

The provider's business location address is:

8905 TWO NOTCH RD
COLUMBIA, SC
ZIP 29223-367
Phone: (803) 788-9593
Fax: (803) 788-3123

The provider's authorized official is Victoria A Gunter .
The authorized official title is Practice Manager and has the following contact phone number (803) 788-9593.

The enumeration date for this NPI number is 3/29/2006 and was last updated on 1/2/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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