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Contact Information

BLUE RIDGE ENDODONTICS, L.L.C.
101 FINLEY ST STE A
CLEMSON, SC29631-1583
 Phone: 864-654-1715
 Fax: 864-654-1730
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for BLUE RIDGE ENDODONTICS, L.L.C.

NPI Number 1023122793
LBN Legal business name BLUE RIDGE ENDODONTICS, L.L.C.
Authorized official KEITH CARVER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC License # 3962
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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