1538457270 NPI number — MRS. ERIN BROPHEY PATTON DMD, MS

Table of content: MRS. ERIN BROPHEY PATTON DMD, MS (NPI 1538457270)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538457270 NPI number — MRS. ERIN BROPHEY PATTON DMD, MS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PATTON
Provider First Name:
ERIN
Provider Middle Name:
BROPHEY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
DMD, MS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BROPHEY
Provider Other First Name:
ERIN
Provider Other Middle Name:
NICOLE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
DMD, MS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1538457270
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/05/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BONDS & PATTON ORTHODONTICS, LLC
Provider Second Line Business Mailing Address:
1343 SECOND LOOP ROAD
Provider Business Mailing Address City Name:
FLORENCE
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-665-8176
Provider Business Mailing Address Fax Number:
843-665-2601

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ORTHODONTIC SPECIALIST
Provider Second Line Business Practice Location Address:
1343 SECOND LOOP ROAD
Provider Business Practice Location Address City Name:
FLORENCE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-665-8176
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/15/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223X0400X , with the licence number:  4476 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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