National Provider Identifier Database

CAROLINA AESTHETIC DENTISTRY PA
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

CAROLINA AESTHETIC DENTISTRY PA
383 SOUTH PINE STREET
SUITE 3
SPARTANBURG, SC29302
Phone: 864-577-9400
Fax: 864-577-9773
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for CAROLINA AESTHETIC DENTISTRY PA

NPI Number 1922115658
Legal business name
LBN
CAROLINA AESTHETIC DENTISTRY PA
Authorized official KATHERINE NICHOLSON - (DENTIST)
Entity Organization
Organization subpart No
Enumeration date 08/25/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: SC3390
  • SC Medicaid: 233900
  • SC Medicaid: ZA9539

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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