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Contact Information

PALMETTO DENTURE CARE PA
975 N CHURCH ST
SPARTANBURG, SC29303
 Phone: 864-582-4308
 Fax: 864-596-4492
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for PALMETTO DENTURE CARE PA

NPI Number 1063689503
LBN Legal business name PALMETTO DENTURE CARE PA
Authorized official CHRIS JUST - (BUSINESS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/14/2008
Last updated 07/01/2009 - About 17 years ago
Identifiers
NC Medicaid 5950162
SC Medicaid ZA9415
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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