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Contact Information

TRINITY ENDODONTICS PA
627 BASS DRIVE
SANTEE, SC29142-0529
 Phone: 803-854-2431
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TRINITY ENDODONTICS PA

NPI # 1154407930
LBN Legal business name TRINITY ENDODONTICS PA
Authorized official MELANIE BROWN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2006
Last updated 01/26/2011 - About 15 years ago
Identifiers
SC License # 3203
SC License # 463
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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