Robert R Wallace Dmd Pa

LBN: Robert R Wallace Dmd Pa
Robert R Wallace Dmd Pa is an health care organization with primary practice located at 40 Creekview Ct , Greenville SC 29615-4800. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Robert R Wallace Dmd Pa can be contacted via phone (864) 676-0825, or through Wallace, Robert Raymond via phone (864) 676-0825.

Contact Information

Primary practice address
40 Creekview Ct Greenville SC 29615-4800
Fax: (864) 676-9859
Website:
Authorized official contact:
Name: Wallace, Robert Raymond Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 1774 South Carolina

Profile Details

NPI number 1881614253
LBN Legal business name Robert R Wallace Dmd Pa
DBA Doing business as
Authorized official Wallace, Robert Raymond Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2006
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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