MOBILE DENTAL CARE LLC NPI 1003016437

Dentist (General Practice) in Charleston, SC

NPI 1003016437 Organization Dentist General Practice

About MOBILE DENTAL CARE LLC

Mobile Dental Care Llc is a provider established in Charleston, South Carolina specializing in dentist (general practice) . The NPI number of Mobile Dental Care Llc is 1003016437 and was assigned on July 2007. The practitioner's primary taxonomy code is 1223G0001X with license number SC3654 (SC). The provider is registered as an organization and their NPI record was last updated 14 years ago. Mobile Dental Care Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. John E Reese Dmd (Co-owner)

A dentist like Mobile Dental Care Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1003016437

Provider NameMOBILE DENTAL CARE LLC
Provider Location Address1064 GARDNER RD STE 101 CHARLESTON, SC 29407
Provider Mailing Address1064 GARDNER RD STE 101 CHARLESTON, SC 29407
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-24-2007
Last Update Date07-24-2007


Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.SC3654
License StateSC
Taxonomy DescriptionA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Business Address

MOBILE DENTAL CARE LLC
1064 GARDNER RD
STE 101
CHARLESTON, SC
ZIP 29407
Phone: (843) 766-6194

Get Directions


Mailing Address

MOBILE DENTAL CARE LLC
1064 GARDNER RD
STE 101
CHARLESTON, SC
ZIP 29407
Phone: (843) 766-6194



Authorized Official

Authorized Official NameDR. JOHN E REESE DMD
Authorized Official TitleCO-OWNER
Authorized Official Phone(843) 766-6194

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
ZA9562MEDICAID (05)SC

Other Providers at the same location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245237254MS. RONITA L PACE APRN, BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1064 GARDNER RD SUITE 112
CHARLESTON, SC 29407
(843) 852-7871
1730139726LOWCOUNTRY MEDICAL ASSOCIATES
Organization
Specialist1064 GARDNER RD SUITE 105
CHARLESTON, SC 29407
(843) 226-0046
1619901261 WILLIAM Y AKERMAN D.M.D.
Individual
Dentist (Pediatric Dentistry)1064 GARDNER RD SUITE 101
CHARLESTON, SC 29407
(843) 437-8884
1457375149DR. OWEN CHARLES GRUSH M.D.
Individual
Specialist1064 GARDNER RD SUITE 101
CHARLESTON, SC 29407
(843) 766-2983
1104983501DR. JOHN B GOOLSBY DMD
Individual
Dentist (General Practice)1064 GARDNER RD SUITE 104
CHARLESTON, SC 29407
(843) 571-5656
1609933019 RONALD T HAMILTON DMD
Individual
Dentist (General Practice)1064 GARDNER RD SUITE 104
CHARLESTON, SC 29407
(843) 571-5656
1417129750LOWCOUNTY NURSING GROUP
Organization
Nursing Care1064 GARDNER RD SUITE 116
CHARLESTON, SC 29407
(843) 569-5510
1114191236LEIGH J MCKENZIE, LLC
Organization
Psychiatry & Neurology (Psychiatry)1064 GARDNER RD SUITE 112 A
CHARLESTON, SC 29407
(843) 852-0083
1013235076 ALLISON GRIFFITH
Individual
Massage Therapist1064 GARDNER RD SUITE 313
CHARLESTON, SC 29407
(843) 852-9939
1912225004 JARROD CHEVALIER FRITZ LMT
Individual
Community Health Worker1064 GARDNER RD STE 313
CHARLESTON, SC 29407
(843) 813-1200
1881914620MISS ASHLI E GOLDEN BS, LMT
Individual
Massage Therapist1064 GARDNER RD SUITE 313
CHARLESTON, SC 29407
(843) 852-9939
1588984694 LINDA UNDERWOOD LMT
Individual
Massage Therapist1064 GARDNER RD SUITE 313
CHARLESTON, SC 29407
(843) 852-9939
1447504493DR. CLAIRE DESMOND DONATO CHAPMAN DMD
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)1064 GARDNER RD SUITE 202
CHARLESTON, SC 29407
(843) 571-4820
1952549115CARIS HEALTHCARE LLC
Organization
Hospice Care, Community Based1064 GARDNER RD SUITE 313
CHARLESTON, SC 29407
(843) 402-0614
1114332921 ZACHARY P EVANS D.M.D.
Individual
Dentist (Periodontics)1064 GARDNER RD SUITE #110
CHARLESTON, SC 29407
(843) 556-8778
1871049320CARE FORLIFE INC
Organization
In Home Supportive Care1064 GARDNER RD SUITE 316
CHARLESTON, SC 29407
(843) 852-9090

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.