SOUTHCOAST DENTAL, PLLC
NPI 1760189567
Dentist in Wareham, MA
- Organization
- Dentist
- CLIA Number: 22D2319909
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-09-2027
About SOUTHCOAST DENTAL, PLLC
This page provides the complete NPI Profile along with additional information for Southcoast Dental, Pllc, a provider established in Wareham, Massachusetts operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1760189567 assigned on February 2023. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is James Edwin Kiehl Dmd (President)
- NPI
- 1760189567 Verify this NPI
- Provider Name
- SOUTHCOAST DENTAL, PLLC
- Entity Type
- Organization
- Location Address
- 20 ROSEBROOK PL STE 2 WAREHAM, MA 02571
- Location Phone
- (508) 203-8211
- Mailing Address
- 20 ROSEBROOK PL STE 2 WAREHAM, MA 02571
- Mailing Phone
- (508) 203-8211
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-13-2023
- Last Update Date
- 02-13-2023
- Code Navigator
A dentist like Southcoast Dental, Pllc 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.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Group Taxonomy 193400000X MULTIPLE 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D2319909
- Facility Type
- Physician Office
- Certificate Effective Date
- March 10, 2025
- Certificate Expiration Date
- March 09, 2027
- Laboratory Director
- CHRISTIAN DEE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southcoast Dental, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760189567, enumerated as an "organization" on February 13, 2023.
The provider is located at 20 ROSEBROOK PL STE 2 WAREHAM, MA 02571 and the phone number is (508) 203-8211.
Dentist with taxonomy code 122300000X.
