Northside Family Dentistry

LBN: Raymond S Vicente Dmd Llc
Northside Family Dentistry is an health care organization with primary practice located at 7481 Northside Drive Suite A, North Charleston SC 29420-4282. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Raymond S Vicente Dmd Llc can be contacted via phone (843) 863-8634, or through Vicente, Raymond S via phone (843) 863-8634.

Contact Information

Primary practice address
7481 Northside Drive Suite A North Charleston SC 29420-4282
Phone: (843) 863-8634
Fax: (843) 863-8242
Website:
Map and Directions
Authorized official contact:
Name: Vicente, Raymond S Doctor of Dental Medicine (DMD)
Phone: (843) 863-8634

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X SC3976 South Carolina

Profile Details

NPI number 1831371913
LBN Legal business name Raymond S Vicente Dmd Llc
DBA Doing business as Northside Family Dentistry
Authorized official Vicente, Raymond S Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2007
Last updated Nov 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831371913 NPPES
South Carolina MEDICAID ZA9568

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