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Contact Information

ARCHDALE FAMILY DENTISTRY ASSOCIATES, LLC
5306 PARKSHIRE WAY
NORTH CHARLESTON, SC29418-2000
 Phone: 843-552-1600
 Fax: 843-552-0049
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ARCHDALE FAMILY DENTISTRY ASSOCIATES, LLC

NPI # 1609316454
LBN Legal business name ARCHDALE FAMILY DENTISTRY ASSOCIATES, LLC
Authorized official COLLEEN CONDREY - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2017
Last updated 02/27/2017 - About 9 years ago
Identifiers
SC License # 2785
SC License # 6959
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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