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SOUTH SIDE DENTAL CARE LLC
NPI 1265053144
Dentist - General Practice in Harrisburg, PA

Active since May 01, 2020
4808 DERRY ST, HARRISBURG, PA 17111(717) 564-9250(717) 564-3089 Get Directions Write a Review

NPPES record last updated: May 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Side Dental Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH SIDE DENTAL CARE LLC (NPI 1265053144) is a healthcare organization registered as a general practice in Harrisburg, Pennsylvania and active in the NPI registry since May 2020. The organization lists Huong T Bui, Owner, as its authorized official.

NPPES Registry Identity

NPI1265053144
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTH SIDE DENTAL CARE LLC
Location Address4808 DERRY STHarrisburg, PA 17111-3440
Mailing Address4808 Derry StHarrisburg, PA 17111-3440 · (717) 564-9250 · Fax (717) 564-3089
Phone(717) 564-9250
Fax(717) 564-3089
Organization SubpartNo
Authorized OfficialHuong T BuiOwner · (717) 564-9250
Enumeration DateMay 1, 2020
NPPES CertifiedMay 1, 2020
✔ NPI 1265053144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A 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.
4808 DERRY ST, Harrisburg, PA 17111
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Group Practice 1

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH SIDE DENTAL CARE LLC
Clinic/Center (Dental)
4808 DERRY ST
HARRISBURG, PA 17111
Dauphin County (717) 564-9250
KARL D OTTO DDS
Dentist (General Practice)
4808 DERRY ST
HARRISBURG, PA 17111
Dauphin County (717) 564-9250

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 South Side Dental Care LLC's NPI number?

The NPI number for South Side Dental Care LLC is 1265053144. It was assigned to this organization in the NPPES registry on May 1, 2020.

Where is South Side Dental Care LLC located?

South Side Dental Care LLC is located at 4808 Derry St, Harrisburg, PA 17111. The listed phone number is (717) 564-9250.

What is South Side Dental Care LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for South Side Dental Care LLC was last updated on May 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.