Medicaid Dental Practice Of Easley, Sc, Inc

LBN: Medicaid Dental Practice Of Easley, Sc, Inc
Medicaid Dental Practice Of Easley, Sc, Inc is an health care organization with primary practice located at 807 S Pendleton St , Easley SC 29640-3527. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Medicaid Dental Practice Of Easley, Sc, Inc can be contacted via phone (864) 855-6530, or through Edwards, Shawn C via phone (864) 859-0111.

Contact Information

Primary practice address
807 S Pendleton St Easley SC 29640-3527
Phone: (864) 855-6530
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Edwards, Shawn C Doctor of Dental Surgery (DDS)
Phone: (864) 859-0111

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3944 South Carolina

Profile Details

NPI number 1932399862
LBN Legal business name Medicaid Dental Practice Of Easley, Sc, Inc
DBA Doing business as
Authorized official Edwards, Shawn C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2007
Last updated Jul 26th, 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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