Hall Street Family Dental

LBN: Jim Nasim Dmd Pa
Hall Street Family Dental is an health care organization with primary practice located at 162 Hall St , Spartanburg SC 29302-1524. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Dental Providers / General Practice is the primary health care specialty. Jim Nasim Dmd Pa can be contacted via phone (864) 582-5915, or through Tomlinson, Jenni via phone (864) 582-5915.

Contact Information

Primary practice address
162 Hall St Spartanburg SC 29302-1524
Phone: (864) 582-5915
Fax: (864) 582-1076
Website:
Map and Directions
Authorized official contact:
Name: Tomlinson, Jenni
Phone: (864) 582-5915

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Ambulatory Health Care Facilities / Dental 261QD0000X 2881 South Carolina

Profile Details

NPI number 1720246325
LBN Legal business name Jim Nasim Dmd Pa
DBA Doing business as Hall Street Family Dental
Authorized official Tomlinson, Jenni
Entity Organization
Organization subpart 1 Yes
Enumeration date May 30th, 2008
Last updated Mar 4th, 2024 - about 2 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 1720246325 NPPES
South Carolina MEDICAID ZA9703

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