Adult Upstate Dental Care, Llc in Greenville - General Practice
Adult Upstate Dental Care, Llc - NPI 1134250178
Adult Upstate Dental Care, Llc is a General Practice in Greenville, South Carolina. Adult Upstate Dental Care, Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Adult Upstate Dental Care, Llc is 1134250178. The last update date is 2009-12-24.
Adult Upstate Dental Care, Llc's current location address is 5c Cleveland Street, Greenville, South Carolina. You can contact this provider via phone number 8642711220. The mailing address for Adult Upstate Dental Care, Llc is 5c Cleveland Street, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Adult Upstate Dental Care, Llc |
|---|---|
| Address | 5c Cleveland Street, Greenville, South Carolina |
| Phone Number | 8642711220 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bobotis Nick Harry |
| Credentials | D.M.D |
| Telephone Number | 8642711220 |
NPI Number Detail
| NPI Number | 1134250178 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2009-12-24 |
Provider Mailing Address Detail
| Address | 5c Cleveland Street |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 29607 |
| Phone Number | 8642711220 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3490 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1215981352 | SC | PERSONAL NPI | |
| Z34909 | SC | -- |
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What is the unique identifier code issued to Adult Upstate Dental Care, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Adult Upstate Dental Care, Llc has been assigned the NPI (National Provider Identifier) 1134250178. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Adult Upstate Dental Care, Llc located?
The Adult Upstate Dental Care, Llc is located at 5C Cleveland Street, Greenville, SC 29607.
What is the Adult Upstate Dental Care, Llc's area of specialization and corresponding taxonomy classification?
The Adult Upstate Dental Care, Llc's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date was the 1134250178 assigned to Adult Upstate Dental Care, Llc?
The Adult Upstate Dental Care, Llc was issued its 1134250178 on 2007-03-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Adult Upstate Dental Care, Llc's information last updated?
The Adult Upstate Dental Care, Llc's information was last updated on 2009-12-24.