LAKE MOULTRIE DENTAL LLC
NPI 1013482603
Clinic/Center - Dental in Moncks Corner, SC
About Lake Moultrie Dental Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE MOULTRIE DENTAL LLC (NPI 1013482603) is a healthcare organization registered as a dental in Moncks Corner, South Carolina and active in the NPI registry since October 2018. The organization lists Brian Lewis Jaques, Owner/dentist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lake Moultrie Dental LLC's NPI number?
The NPI number for Lake Moultrie Dental LLC is 1013482603. It was assigned to this organization in the NPPES registry on October 10, 2018.
Where is Lake Moultrie Dental LLC located?
Lake Moultrie Dental LLC is located at 205 Carolina Ave, Moncks Corner, SC 29461. The listed phone number is (843) 761-8720.
What is Lake Moultrie Dental LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
What insurance does Lake Moultrie Dental LLC accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and UnitedHealthcare list Lake Moultrie Dental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lake Moultrie Dental LLC was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
