1750627832 NPI number — APPLE SEEDS PEDIATRIC DENTRISTRY, LLC

Table of content: MS. DONNA FALANA PTA (NPI 1710906912)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750627832 NPI number — APPLE SEEDS PEDIATRIC DENTRISTRY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APPLE SEEDS PEDIATRIC DENTRISTRY, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750627832
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/02/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
110 VILLA RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENVILLE
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29615-3010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
864-282-1935
Provider Business Mailing Address Fax Number:
864-282-1955

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1405 BRUSHY CREEK RD STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAYLORS
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29687-4008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-244-3132
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/18/2012

Additional Information

Authorized Official

Authorized Official Last Name:
SAFRIT
Authorized Official First Name:
BOBBY
Authorized Official Middle Name:
MONROE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
864-244-3132

Provider Taxonomy Codes

  • Taxonomy code: 1223P0221X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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