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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 Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for CAROLINA AESTHETIC DENTISTRY PA

NPI # 1922115658
LBN Legal business name CAROLINA AESTHETIC DENTISTRY PA
Authorized official KATHERINE NICHOLSON - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/25/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC License # SC3390
SC Medicaid 233900
SC Medicaid ZA9539
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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