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Contact Information

CHARLESTON IMPLANT & SEDATION DENTISTRY CENTER, LLC
124 S GOOSE CREEK BLVD STE D
GOOSE CREEK, SC29445-3136
 Phone: 843-501-1965
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Periodontics

1223P0300X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for CHARLESTON IMPLANT & SEDATION DENTISTRY CENTER, LLC

NPI # 1811632029
LBN Legal business name CHARLESTON IMPLANT & SEDATION DENTISTRY CENTER, LLC
Authorized official RYAN GILREATH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/02/2022
Last updated 05/02/2022 - About 4 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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