DENTAL ASSOCIATES OF HOLLY HILL PA NPI 1164553178

NPI Information

  • NPI: 1164553178
  • Provider Name: DENTAL ASSOCIATES OF HOLLY HILL PA
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 912 HOLLY STREET
    HOLLY HILL, SC
    ZIP 29059
  • Phone: (803) 496-5093

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NPI Details

DENTAL ASSOCIATES OF HOLLY HILL PA is a general practice dentist in Holly Hill, 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 HOLLY HILL PA NPI is 1164553178. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

912 HOLLY STREET
HOLLY HILL, SC
ZIP 29059-606
Phone: (803) 496-5093
Fax: (803) 496-5093

The provider's authorized official is Ivan Anderson Bishop .
The authorized official title is Prestident and has the following contact phone number (803) 496-5093.

The enumeration date for this NPI number is 3/8/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDC41076-1SOUTH 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: 3/30/2025

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