FETTER HEALTH CARE NETWORK INC NPI 1245639095

NPI Information

  • NPI: 1245639095
  • Provider Name: FETTER HEALTH CARE NETWORK INC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: COMMUNITY DENTAL CENTER
  • Address: 51 NASSAU ST
    CHARLESTON, SC
    ZIP 29403
  • Phone: (843) 722-4112

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NPI Details

FETTER HEALTH CARE NETWORK INC is a dental clinic center in Charleston, SC. FETTER HEALTH CARE NETWORK INC NPI is 1245639095. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Dental Center.

The provider's business location address is:

51 NASSAU ST
CHARLESTON, SC
ZIP 29403-513
Phone: (843) 722-4112
Fax: (843) 557-9550

The provider's authorized official is Aretha R Jones .
The authorized official title is Ceo and has the following contact phone number (843) 722-4112.

The enumeration date for this NPI number is 8/18/2014 and was last updated on 10/28/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
2261QD0000XClinic/CenterDentalYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZA8983MEDICAIDSOUTH 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: 3/30/2025

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