Mathis Ferry Dental Associates, Inc.
LBN: Mathis Ferry Dental Associates, Inc.
Mathis Ferry Dental Associates, Inc. is an health care organization with primary practice located at 701 Leader Ln , Mount Pleasant SC 29464-8152. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Mathis Ferry Dental Associates, Inc. can be contacted via phone (843) 345-2307, or through Depaul, Edna Klatt via phone (843) 345-2307.
Contact Information
Primary practice address
701 Leader Ln
Mount Pleasant SC 29464-8152
Phone: (843) 345-2307
Fax: (843) 881-3161
Website:
Authorized official contact:
Name: Depaul, Edna Klatt Doctor of Dental Medicine (DMD)
Phone: (843) 345-2307
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 02529 | South Carolina |
Profile Details
| NPI number | 1134245145 |
|---|---|
| LBN Legal business name | Mathis Ferry Dental Associates, Inc. |
| DBA Doing business as | |
| Authorized official | Depaul, Edna Klatt Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Aug 8th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134245145 | NPPES |
| South Carolina | MEDICAID | ZA9806 | |
| South Carolina | Other | 488297 |
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