NPI 1649693177 · live from the CMS NPI Registry
Family Orthodontics Of S. Carolina, LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Summerville, SC. National Provider Identifier 1649693177, active.
NPI record
| NPI | 1649693177 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 302b Midland Pkwy, Summerville, SC 29485 |
| Practice phone | 843-821-3162 |
| Mailing address | 1350 Spring St Nw, Ste 600, Atlanta, GA 30309 |
| Enumerated | February 4, 2014 |
| Last updated | February 4, 2014 |
| Authorized official | Jeannine Bartch, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 4396 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.