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DENTAL ASSOCIATES OF SUMMERVILLE LLC NPI 1063635753


NPI Information

NPI: 1063635753
Provider Name: DENTAL ASSOCIATES OF SUMMERVILLE, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
209 W 5TH NORTH ST
SUMMERVILLE, SC
ZIP 29483
Phone: (843) 873-3706
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DENTAL ASSOCIATES OF SUMMERVILLE, LLC is a general practice dentist in Summerville, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DENTAL ASSOCIATES OF SUMMERVILLE, LLC NPI is 1063635753. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

209 W 5TH NORTH ST
SUMMERVILLE, SC
ZIP 29483-511
Phone: (843) 873-3706

The provider's authorized official is Melissa Grooms .
The authorized official title is Administrative Assistant and has the following contact phone number (843) 873-3706.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral PracticeSOUTH CAROLINAYes

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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