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Contact Information

THREE FOUNTAINS FAMILY DENTAL INC
2248 PINE STREET
WEST COLUMBIA, SC29170
 Phone: 803-755-0039
 Fax: 803-755-0007
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for THREE FOUNTAINS FAMILY DENTAL INC

NPI # 1295805042
LBN Legal business name THREE FOUNTAINS FAMILY DENTAL INC
Authorized official PETER STOLTZ - (DENTIST PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC License # 2688
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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