MODERN DENTAL CARE NPI 1376125518

NPI Information

  • NPI: 1376125518
  • Provider Name: MODERN DENTAL CARE
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 3420 FILBERT HWY
    CLOVER, SC
    ZIP 29710
  • Phone: (803) 286-6455

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NPI Details

MODERN DENTAL CARE is a dental clinic center in Clover, SC. MODERN DENTAL CARE NPI is 1376125518. The provider is registered as an organization entity type.

The provider's business location address is:

3420 FILBERT HWY
CLOVER, SC
ZIP 29710-602
Phone: (803) 286-6455

The provider's authorized official is Irina Fridman .
The authorized official title is Business Administration and has the following contact phone number (803) 286-6455.

The enumeration date for this NPI number is 4/27/2021 and was last updated on 4/27/2021.

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: 11/21/2025

NPI Synchronization or Removal

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