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Contact Information

CENTRAL CAROLINA ENDODONTICS PA
888 COOK ROAD
ORANGEBURG, SC29118
 Phone: 803-516-0777
 Fax: 803-516-0577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for CENTRAL CAROLINA ENDODONTICS PA

NPI Number 1710442967
LBN Legal business name CENTRAL CAROLINA ENDODONTICS PA
Authorized official JOSEPH BONAVILLA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2019
Last updated 02/01/2019 - About 7 years ago
Identifiers n/a
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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