Amanda Gregory Family Cosmetic Dentistry

LBN: Wooley Family Dentistry
Amanda Gregory Family Cosmetic Dentistry is an health care organization with primary practice located at 1223 Boonehill Rd , Summerville SC 29483. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is the primary health care specialty. Wooley Family Dentistry can be contacted via phone (843) 871-9924, or through Webster, Melissa A via phone (843) 871-9924.

Contact Information

Primary practice address
1223 Boonehill Rd Summerville SC 29483
Phone: (843) 871-9924
Fax: (843) 871-9928
Website:
Map and Directions
Authorized official contact:
Name: Webster, Melissa A
Phone: (843) 871-9924

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1508069006
LBN Legal business name Wooley Family Dentistry
DBA Doing business as Amanda Gregory Family Cosmetic Dentistry
Authorized official Webster, Melissa A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2007
Last updated Jun 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508069006 NPPES
South Carolina MEDICAID 8338

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