Amanda Komisarow Dmd Llc

LBN: Amanda Komisarow Dmd Llc
Amanda Komisarow Dmd Llc is an health care organization with primary practice located at 924 Tall Pine Rd , Mount Pleasant SC 29464-2990. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Amanda Komisarow Dmd Llc can be contacted via phone (404) 626-1969, or through Komisarow, Amanda via phone (404) 626-1969.

Contact Information

Primary practice address
924 Tall Pine Rd Mount Pleasant SC 29464-2990
Phone: (404) 626-1969
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Komisarow, Amanda Doctor of Dental Medicine (DMD)
Phone: (404) 626-1969

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1215600242
LBN Legal business name Amanda Komisarow Dmd Llc
DBA Doing business as
Authorized official Komisarow, Amanda Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2021
Last updated Jul 27th, 2021 - about 5 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.

Request for update

Popular Providers