Providence Dental Group Llc in Simpsonville - Dental
Providence Dental Group Llc - NPI 1760502181
Providence Dental Group Llc is a Dental in Simpsonville, South Carolina. Providence Dental Group Llc practices all healthcare services and medical treatments related to Dental. The NPI Number for Providence Dental Group Llc is 1760502181. The last update date is 2020-08-22.
Providence Dental Group Llc's current location address is 220 Bridges Rd, Simpsonville, South Carolina. You can contact this provider via phone number 8646756445 and fax number 8646756447. The mailing address for Providence Dental Group Llc is 220 Bridges Rd, Simpsonville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Dental Group Llc |
|---|---|
| Address | 220 Bridges Rd, Simpsonville, South Carolina |
| Phone Number | 8646756445 |
| Fax Number | 8646756447 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER |
|---|---|
| Authorized Official Name | Makowski Phillip Jason |
| Telephone Number | 8646756445 |
NPI Number Detail
| NPI Number | 1760502181 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 220 Bridges Rd |
|---|---|
| City | Simpsonville |
| State | South Carolina (SC) |
| Post Code | 296815700 |
| Phone Number | 8646756445 |
| Fax Number | 8646756447 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | SC 3724 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique 10-digit identifier code assigned to Providence Dental Group Llc by the Centers for Medicare & Medicaid Services?
The Providence Dental Group Llc has been issued the NPI (National Provider Identifier) 1760502181 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Providence Dental Group Llc located?
The Providence Dental Group Llc is located at 220 Bridges Rd, Simpsonville, SC 296815700.
What is Providence Dental Group Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Providence Dental Group Llc's specialized field of practice is Dental, and the corresponding taxonomy code that categorizes this area of specialization is 261Qd0000X.
On what date did the Providence Dental Group Llc receive the assignment of its 1760502181 from the Centers for Medicare & Medicaid Services?
The Providence Dental Group Llc was issued its 1760502181 by the Centers for Medicare & Medicaid Services on 2007-03-30.
When was the information pertaining to Providence Dental Group Llc most recently updated or revised?
The details related to Providence Dental Group Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.