Longboard Dental Llc

LBN: Longboard Dental Llc
Longboard Dental Llc is an health care organization with primary practice located at 405 Faison Road Suire A3, Mt Pleasant SC 29466. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Longboard Dental Llc can be contacted via phone (843) 654-1373, or through Wolf, Ellen Paulisick via phone (843) 654-1373.

Contact Information

Primary practice address
405 Faison Road Suire A3 Mt Pleasant SC 29466
Phone: (843) 654-1373
Fax: (843) 654-1374
Website:
Map and Directions
Authorized official contact:
Name: Wolf, Ellen Paulisick DDS, FAGD
Phone: (843) 654-1373

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1134837503
LBN Legal business name Longboard Dental Llc
DBA Doing business as
Authorized official Wolf, Ellen Paulisick DDS, FAGD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2022
Last updated Nov 14th, 2022 - about 4 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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