Lake Dentistry Llc

LBN: Lake Dentistry Llc
Lake Dentistry Llc is an health care organization with primary practice located at 735 Harry C. Raysor Drive , St. Matthews SC 29135-0237. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Lake Dentistry Llc can be contacted via phone (803) 874-2243, or through Lake, Clarence Roberts via phone (803) 874-2243.

Contact Information

Primary practice address
735 Harry C. Raysor Drive St. Matthews SC 29135-0237
Phone: (803) 874-2243
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lake, Clarence Roberts Doctor of Dental Medicine (DMD)
Phone: (803) 874-2243

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 02808 South Carolina

Profile Details

NPI number 1699959528
LBN Legal business name Lake Dentistry Llc
DBA Doing business as
Authorized official Lake, Clarence Roberts Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2007
Last updated Dec 27th, 2007 - about 19 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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