Elite Smiles Dental, P.A.
LBN: Elite Smiles Dental, P.A.
Elite Smiles Dental, P.A. is an health care organization with primary practice located at 9020 Farrow Rd , Columbia SC 29203-9773. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is the primary health care specialty.
Elite Smiles Dental, P.A. can be contacted via phone (803) 419-5002, or through Gambrell, Andrew G via phone (803) 419-5002.
Contact Information
Primary practice address
9020 Farrow Rd
Columbia SC 29203-9773
Phone: (803) 419-5002
Fax: (803) 419-9600
Website:
Authorized official contact:
Name: Gambrell, Andrew G Doctor of Dental Medicine (DMD)
Phone: (803) 419-5002
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | SC2116 | South Carolina |
| Dental Providers / Dentist | 122300000X | 30-04295 | South Carolina |
| Dental Providers / Dentist | 122300000X | 3794 | South Carolina |
| Dental Providers / Dentist | 122300000X | 2116 | South Carolina |
| Dental Providers / General Practice | 1223G0001X | 03794 | South Carolina |
Profile Details
| NPI number | 1861649386 |
|---|---|
| LBN Legal business name | Elite Smiles Dental, P.A. |
| DBA Doing business as | |
| Authorized official | Gambrell, Andrew G Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 27th, 2008 |
| Last updated | Feb 21st, 2017 - about 9 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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