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REGENESIS ORGANZATION COMMUNITY HEALTH CENTER NPI 1659609485


NPI Information

NPI: 1659609485
Provider Name: REGENESIS ORGANZATION COMMUNITY HEALTH CENTER

Doing Business As: REGENESIS COMMUNITY HEALTH CENTER DENTAL OFFICE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
550 S CHURCH STREET
UNIT 2
SPARTANBURG, SC
ZIP 29306
Phone: (864) 582-2817
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REGENESIS ORGANZATION COMMUNITY HEALTH CENTER is a general practice dentist in Spartanburg, 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. REGENESIS ORGANZATION COMMUNITY HEALTH CENTER NPI is 1659609485. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Regenesis Community Health Center Dental Office.

The provider's business location address is:

550 S CHURCH STREET
UNIT 2
SPARTANBURG, SC
ZIP 29306-306
Phone: (864) 582-2817

The provider's authorized official is George Newby .
The authorized official title is Ceo and has the following contact phone number (864) 582-2817.

The enumeration date for this NPI number is 12/7/2009 and was last updated on 6/3/2010.


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

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZA9355MEDICAIDSOUTH 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: 4/28/2024

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