Advanced Dermatology And Laser Center P.A.

LBN: Advanced Dermatology And Laser Center P.A.
Advanced Dermatology And Laser Center P.A. is an health care organization with primary practice located at 107 Clair Dr , Piedmont SC 29673-7771. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Advanced Dermatology And Laser Center P.A. can be contacted via phone (864) 295-3376, or through Treen, Ben M via phone (864) 295-3376.

Contact Information

Primary practice address
107 Clair Dr Piedmont SC 29673-7771
Phone: (864) 295-3376
Fax: (864) 295-9117
Website:
Map and Directions
Authorized official contact:
Name: Treen, Ben M Doctor of Medicine (MD)
Phone: (864) 295-3376

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 13943 South Carolina

Profile Details

NPI number 1942496880
LBN Legal business name Advanced Dermatology And Laser Center P.A.
DBA Doing business as
Authorized official Treen, Ben M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2007
Last updated Sep 7th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942496880 NPPES
South Carolina MEDICAID 139433
South Carolina Other 1457466971

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