J D Rucker Jr Dds Pa

LBN: J D Rucker Jr Dds Pa
J D Rucker Jr Dds Pa is an health care organization with primary practice located at 145 Center Street , Chester SC 29704-2704. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. J D Rucker Jr Dds Pa can be contacted via phone (803) 377-1157, or through Rucker, James D via phone (803) 377-1157.

Contact Information

Primary practice address
145 Center Street Chester SC 29704-2704
Phone: (803) 377-1157
Fax: (803) 385-6898
Website:
Map and Directions
Authorized official contact:
Name: Rucker, James D Doctor of Dental Surgery (DDS)
Phone: (803) 377-1157

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Z1899 South Carolina

Profile Details

NPI number 1437284072
LBN Legal business name J D Rucker Jr Dds Pa
DBA Doing business as
Authorized official Rucker, James D Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
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 1437284072 NPPES
South Carolina MEDICAID ZA9826

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