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Contact Information

ADVANCED UPSTSTE ENDODONTICS
101 FINLEY ST
CLEMSON, SC29631-1583
 Phone: 864-624-9229
 Fax: 864-624-9595
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ADVANCED UPSTSTE ENDODONTICS

NPI # 1003186628
LBN Legal business name ADVANCED UPSTSTE ENDODONTICS
Authorized official MICHAEL PFISTER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2012
Last updated 01/12/2012 - About 14 years ago
Identifiers
SC License # 766 ENDO
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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