Smile Center Of Knightsville

LBN: Smile Center Of Knightsville
Smile Center Of Knightsville is an health care organization with primary practice located at 100 Omalley Dr Suite B, Summerville SC 29483-5635. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Smile Center Of Knightsville can be contacted via phone (843) 261-0123, or through Gourdine, Jeanine Alicia via phone (843) 261-0123.

Contact Information

Primary practice address
100 Omalley Dr Suite B Summerville SC 29483-5635
Phone: (843) 261-0123
Fax: (843) 261-0125
Website:
Map and Directions
Authorized official contact:
Name: Gourdine, Jeanine Alicia Doctor of Dental Medicine (DMD)
Phone: (843) 261-0123

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4061 South Carolina

Profile Details

NPI number 1558543249
LBN Legal business name Smile Center Of Knightsville
DBA Doing business as Smile Center Of Knightsville
Authorized official Gourdine, Jeanine Alicia Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2007
Last updated Dec 4th, 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 1558543249 NPPES
South Carolina MEDICAID ZX4061

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