Carolina Aesthetic Dentistry Pa

LBN: Carolina Aesthetic Dentistry Pa
Carolina Aesthetic Dentistry Pa is an health care organization with primary practice located at 383 South Pine Street Suite 3, Spartanburg SC 29302. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Carolina Aesthetic Dentistry Pa can be contacted via phone (864) 577-9400, or through Nicholson, Katherine Melissa via phone (864) 577-9400.

Contact Information

Primary practice address
383 South Pine Street Suite 3 Spartanburg SC 29302
Phone: (864) 577-9400
Fax: (864) 577-9773
Website:
Map and Directions
Authorized official contact:
Name: Nicholson, Katherine Melissa Doctor of Dental Medicine (DMD)
Phone: (864) 577-9400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X SC3390 South Carolina

Profile Details

NPI number 1922115658
LBN Legal business name Carolina Aesthetic Dentistry Pa
DBA Doing business as
Authorized official Nicholson, Katherine Melissa Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1922115658 NPPES
South Carolina MEDICAID ZA9539
South Carolina MEDICAID 233900

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