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SUMMERVILLE SMILES DENTAL OFFICE PC NPI 1972179307


NPI Information

NPI: 1972179307
Provider Name: SUMMERVILLE SMILES DENTAL OFFICE, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1099 N MAIN ST STE 102
SUMMERVILLE, SC
ZIP 29483
Phone: (843) 536-8577
Get Directions

SUMMERVILLE SMILES DENTAL OFFICE, PC is a general practice dentist in Summerville, 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. SUMMERVILLE SMILES DENTAL OFFICE, PC NPI is 1972179307. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1099 N MAIN ST STE 102
SUMMERVILLE, SC
ZIP 29483-300
Phone: (843) 536-8577

The provider's authorized official is Ali Shahrestani .
The authorized official title is Owner Dentist and has the following contact phone number (843) 536-8577.

The enumeration date for this NPI number is 5/27/2021 and was last updated on 5/27/2021.


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
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: 5/5/2024

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