Prime Dental, P.C. in Travelers Rest - Dentist
Prime Dental, P.C. - NPI 1891856209
Prime Dental, P.C. is a Dentist in Travelers Rest, South Carolina. Prime Dental, P.C. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Prime Dental, P.C. is 1891856209. The last update date is 2020-08-22.
Prime Dental, P.C.'s current location address is 28 S Main St, Travelers Rest, South Carolina. You can contact this provider via phone number 8648348001 and fax number 8648345563. The mailing address for Prime Dental, P.C. is 28 S Main St, Travelers Rest, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prime Dental, P.C. |
|---|---|
| Address | 28 S Main St, Travelers Rest, South Carolina |
| Phone Number | 8648348001 |
| Fax Number | 8648345563 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shirley Duncan Asa |
| Credentials | DMD |
| Telephone Number | 8648648001 |
NPI Number Detail
| NPI Number | 1891856209 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 28 S Main St |
|---|---|
| City | Travelers Rest |
| State | South Carolina (SC) |
| Post Code | 296901810 |
| Phone Number | 8648348001 |
| Fax Number | 8648345563 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1863 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZA9532 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Prime Dental, P.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Prime Dental, P.C. has been assigned the NPI (National Provider Identifier) 1891856209. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Prime Dental, P.C. located?
The Prime Dental, P.C. is located at 28 S Main St, Travelers Rest, SC 296901810.
What is the Prime Dental, P.C.'s specialty and taxonomy code?
The Prime Dental, P.C.'s specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891856209 to Prime Dental, P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1891856209 to Prime Dental, P.C. on 2006-12-12.
As of what date was the information regarding Prime Dental, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Prime Dental, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.