Brent R. Humphrey Dmd, P.A. in Goose Creek - Pediatric Dentistry
Brent R. Humphrey Dmd, P.A. - NPI 1316950843
Brent R. Humphrey Dmd, P.A. is a Pediatric Dentistry in Goose Creek, South Carolina. Brent R. Humphrey Dmd, P.A. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Brent R. Humphrey Dmd, P.A. is 1316950843. The last update date is 2020-08-22.
Brent R. Humphrey Dmd, P.A.'s current location address is 103 Springhall Dr, Goose Creek, South Carolina. You can contact this provider via phone number 8437972000 and fax number 8437978826. The mailing address for Brent R. Humphrey Dmd, P.A. is 103 Springhall Dr, Goose Creek, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brent R. Humphrey Dmd, P.A. |
|---|---|
| Address | 103 Springhall Dr, Goose Creek, South Carolina |
| Phone Number | 8437972000 |
| Fax Number | 8437978826 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Humphrey R. Brent |
| Credentials | D.M.D. |
| Telephone Number | 8437972000 |
NPI Number Detail
| NPI Number | 1316950843 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 103 Springhall Dr |
|---|---|
| City | Goose Creek |
| State | South Carolina (SC) |
| Post Code | 294455336 |
| Phone Number | 8437972000 |
| Fax Number | 8437978826 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2872 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZA 9522 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Brent R. Humphrey Dmd, P.A. by the Centers for Medicare & Medicaid Services?
The Brent R. Humphrey Dmd, P.A. has been assigned the NPI (National Provider Identifier) 1316950843 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Brent R. Humphrey Dmd, P.A.'s facilities are geographically located?
The facilities of Brent R. Humphrey Dmd, P.A. are physically situated at the following location: 103 Springhall Dr, Goose Creek, SC, 294455336.
What is Brent R. Humphrey Dmd, P.A.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brent R. Humphrey Dmd, P.A. is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date was the 1316950843 assigned to Brent R. Humphrey Dmd, P.A.?
The Brent R. Humphrey Dmd, P.A. was issued its 1316950843 on 2006-08-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Brent R. Humphrey Dmd, P.A.'s information last updated?
The Brent R. Humphrey Dmd, P.A.'s information was last updated on 2020-08-22.