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Contact Information

SOUTHEAST ENDODONTICS, PC
10 FARMFIELD AVE
CHARLESTON, SC29407-7756
 Phone: 843-766-0112
 Fax: 843-766-0884
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for SOUTHEAST ENDODONTICS, PC

NPI # 1902019722
LBN Legal business name SOUTHEAST ENDODONTICS, PC
Authorized official WALTER LONG - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC License # 3707
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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