Northeast Dental Associates

LBN: John C Cosby Jr Dmd Pa
Northeast Dental Associates is an health care organization with primary practice located at 7346 Parklane Road , Columbia SC 29223. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. John C Cosby Jr Dmd Pa can be contacted via phone (803) 788-6691, or through Cosby, John C via phone (803) 754-9160.

Contact Information

Primary practice address
7346 Parklane Road Columbia SC 29223
Phone: (803) 788-6691
Fax: (803) 865-6870
Website:
Map and Directions
Authorized official contact:
Name: Cosby, John C Doctor of Dental Medicine (DMD)
Phone: (803) 754-9160

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X SC1677 South Carolina

Profile Details

NPI number 1275793648
LBN Legal business name John C Cosby Jr Dmd Pa
DBA Doing business as Northeast Dental Associates
Authorized official Cosby, John C Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2008
Last updated Jun 10th, 2008 - about 18 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 1275793648 NPPES
South Carolina MEDICAID Z16778

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