OMNI DENTAL OF SUMTER LLC NPI 1275356289

NPI Information

  • NPI: 1275356289
  • Provider Name: OMNI DENTAL OF SUMTER LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 625 CONSTITUTION DR
    SUMTER, SC
    ZIP 29154
  • Phone: (803) 773-5413

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NPI Details

OMNI DENTAL OF SUMTER LLC is a dental clinic center in Sumter, SC. OMNI DENTAL OF SUMTER LLC NPI is 1275356289. The provider is registered as an organization entity type.

The provider's business location address is:

625 CONSTITUTION DR
SUMTER, SC
ZIP 29154-190
Phone: (803) 773-5413

The provider's authorized official is Robert Ellis .
The authorized official title is Owner and has the following contact phone number (803) 413-5100.

The enumeration date for this NPI number is 11/7/2024 and was last updated on 11/7/2024.

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
1261QD0000XClinic/CenterDentalYes

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

NPI Synchronization or Removal

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