Anderson Pediatric Dentistry

LBN: Anderson Pediatric Dentistry
Anderson Pediatric Dentistry is an health care organization with primary practice located at 198 Mutual Dr , Anderson SC 29621-1767. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Anderson Pediatric Dentistry can be contacted via phone (864) 884-6522, or through Monn, Kathleen Wilcox via phone (864) 884-6522.

Contact Information

Primary practice address
198 Mutual Dr Anderson SC 29621-1767
Phone: (864) 884-6522
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Monn, Kathleen Wilcox Doctor of Dental Medicine (DMD)
Phone: (864) 884-6522

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3818 South Carolina

Profile Details

NPI number 1316244858
LBN Legal business name Anderson Pediatric Dentistry
DBA Doing business as
Authorized official Monn, Kathleen Wilcox Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2011
Last updated Feb 18th, 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 1316244858 NPPES
South Carolina MEDICAID ZX3818

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