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Contact Information

NICHOLAS J POURNARAS DMD LLC
1801A CHARLESTON HIGHWAY
CAYCE, SC29033
 Phone: 803-794-5430
 Fax: 803-794-0122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for NICHOLAS J POURNARAS DMD LLC

NPI # 1083770762
LBN Legal business name NICHOLAS J POURNARAS DMD LLC
Authorized official NICHOLAS POURNARAS - (OWNER PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/28/2006
Last updated 06/17/2008 - About 18 years ago
Identifiers
SC License # 3552
SC Medicaid ZA9845
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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