Crystal Smiles Pc in Columbia - General Practice
Crystal Smiles Pc - NPI 1700075041
Crystal Smiles Pc is a General Practice in Columbia, South Carolina. Crystal Smiles Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Crystal Smiles Pc is 1700075041. The last update date is 2022-07-21.
Crystal Smiles Pc's current location address is 1412 Barnwell St, Columbia, South Carolina. You can contact this provider via phone number 8032562333 and fax number 8032561580. The mailing address for Crystal Smiles Pc is 1412 Barnwell St, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crystal Smiles Pc |
|---|---|
| Address | 1412 Barnwell St, Columbia, South Carolina |
| Phone Number | 8032562333 |
| Fax Number | 8032561580 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR/OWN |
|---|---|
| Authorized Official Name | Johnson L. Crystal |
| Credentials | DDS |
| Telephone Number | 8032562333 |
NPI Number Detail
| NPI Number | 1700075041 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1412 Barnwell St |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292013512 |
| Phone Number | 8032562333 |
| Fax Number | 8032561580 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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 |
|---|---|---|---|
| ZA9587 | SC | -- |
Post Comment/ Review Below
What is the Crystal Smiles Pc's unique identification number?
The Crystal Smiles Pc has been assigned the NPI (National Provider Identifier) Number 1700075041 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Crystal Smiles Pc is physically located?
The Crystal Smiles Pc is situated at the following address: 1412 Barnwell St, Columbia, SC 292013512.
What is the Crystal Smiles Pc's area of specialization and corresponding taxonomy classification?
The Crystal Smiles Pc'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 did Crystal Smiles Pc receive its 1700075041 assignment from the Centers for Medicare & Medicaid Services?
The Crystal Smiles Pc was assigned its 1700075041 on 2007-10-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Crystal Smiles Pc most recently updated or refreshed?
The details pertaining to the Crystal Smiles Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.
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