Providence Dental Group Llc

LBN: Providence Dental Group Llc
Providence Dental Group Llc is an health care organization with primary practice located at 220 Bridges Rd , Simpsonville SC 29681-5700. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Providence Dental Group Llc can be contacted via phone (864) 675-6445, or through Makowski, Jason Phillip via phone (864) 675-6445.

Contact Information

Primary practice address
220 Bridges Rd Simpsonville SC 29681-5700
Phone: (864) 675-6445
Fax: (864) 675-6447
Website:
Map and Directions
Authorized official contact:
Name: Makowski, Jason Phillip
Phone: (864) 675-6445

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X SC 3724 South Carolina

Profile Details

NPI number 1760502181
LBN Legal business name Providence Dental Group Llc
DBA Doing business as
Authorized official Makowski, Jason Phillip
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated Aug 22nd, 2020 - about 6 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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