Lake Wylie Modern Dentistry, Pc

ActiveOrganizationDentistry
NPI issued: September 27, 2019

Quick Facts

NPI Number
1194376491
TypeOrganization
StatusActive
SpecialtyDentistry
Taxonomy122300000X — Dentistry
Phone
(803) 752-0565
StateSC

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1194376491)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (September 27, 2019)
Data source: CMS NPPES

Provider Overview

LAKE WYLIE MODERN DENTISTRY, PC is a Dentistry provider based in Lake Wylie, SC who has been registered with CMS since 2019. They are affiliated with Lake Wylie Modern Dentistry and Lake Wylie Modern Dentistry. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1194376491
Provider TypeOrganization
StatusActive
Enumeration DateSeptember 27, 2019

Practice Location

CityLake Wylie
StateSC
ZIP Code29710-6045
Phone(803) 752-0565

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code122300000X
License StateSC

Mailing Address

CityLake Wylie
StateSC
ZIP Code29710-6045
Phone(803) 752-0565
Same as practice location

Hospital & Organization Affiliations

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Lake Wylie Modern Dentistry

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Lake Wylie Modern Dentistry

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How to Use This NPI

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For Insurance Billing

Use NPI 1194376491 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1194376491for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1194376491 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Dentistryproviders →
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125,053
Dentistry Providers in the US

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People Also Ask

What is Lake Wylie Modern Dentistry, Pc's NPI number?
Lake Wylie Modern Dentistry, Pc's NPI number is 1194376491, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Lake Wylie Modern Dentistry, Pc's NPI currently active?
Yes, Lake Wylie Modern Dentistry, Pc's NPI status is Active as of the latest CMS NPPES database updates.
What does Lake Wylie Modern Dentistry, Pc specialize in?
Lake Wylie Modern Dentistry, Pc specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 122300000X.
Where does Lake Wylie Modern Dentistry, Pc practice?
Lake Wylie Modern Dentistry, Pc practices in Lake Wylie, SC 29710-6045.
When was Lake Wylie Modern Dentistry, Pc's NPI issued?
Lake Wylie Modern Dentistry, Pc's NPI was issued on September 27, 2019.
What is Lake Wylie Modern Dentistry, Pc's provider type?
Lake Wylie Modern Dentistry, Pc is registered as an Organization under CMS NPI Type 2.