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TEETH DS DANIEL ISLAND LLC NPI 1275315822


NPI Information

NPI: 1275315822
Provider Name: TEETH DS DANIEL ISLAND LLC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
240 SEVEN FARMS DR STE 101
DANIEL ISLAND, SC
ZIP 29492
Phone: (843) 284-4444
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TEETH DS DANIEL ISLAND LLC is an endodontics dentist in Daniel Island, SC. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. TEETH DS DANIEL ISLAND LLC NPI is 1275315822. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

240 SEVEN FARMS DR STE 101
DANIEL ISLAND, SC
ZIP 29492-988
Phone: (843) 284-4444

The provider's authorized official is Luke Liszka .
The authorized official title is Periodontist and has the following contact phone number (843) 284-4444.

The enumeration date for this NPI number is 10/18/2023 and was last updated on 10/18/2023.


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
11223P0300XDentistPeriodonticsNo
21223E0200XDentistEndodonticsYes

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: 5/5/2024

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