Provider Type Icon

FAMILY DENTAL LLC NPI 1629355045


NPI Information

NPI: 1629355045
Provider Name: FAMILY DENTAL LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2022-2024 CHERRY ROAD
ROCK HILL, SC
ZIP 29732
Phone: (803) 324-9400
Get Directions

FAMILY DENTAL LLC is a general practice dentist in Rock 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. FAMILY DENTAL LLC NPI is 1629355045. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2022-2024 CHERRY ROAD
ROCK HILL, SC
ZIP 29732-627
Phone: (803) 324-9400

The provider's authorized official is Peter Stathakis .
The authorized official title is Cfo and has the following contact phone number (312) 274-0308.

The enumeration date for this NPI number is 11/14/2011 and was last updated on 11/14/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.