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Contact Information

803 DENTAL LLC
1344 HIGHWAY 160 E
#101
FORT MILL, SC29715
 Phone: 803-650-6352
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 803 DENTAL LLC

NPI Number 1326808114
LBN Legal business name 803 DENTAL LLC
Authorized official YENAN XU - (D.D.S.)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2024
Last updated 03/20/2024 - About 2 years ago
Identifiers n/a
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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