Lotus Dental Associates LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LOTUS DENTAL ASSOCIATES LLC

Practice address

1365 Broadcloth St Ste 204
Fort Mill, SC 29715-4507

Phone

(803) 548-8858

Fax

(803) 548-8860

NPI assigned

Jun 27, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nhung Phan, DMDNPI 1821165507

Title

Owner

Phone

(803) 548-8858

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nhung Thi Phan, D.M.D.

  • Dentist
  • Fort Mill, SC
  • NPI 1821165507
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1730740887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 BROADCLOTH ST STE 204",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297154507",
            "telephone_number": "803-548-8858",
            "fax_number": "803-548-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 BROADCLOTH ST STE 204",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297154507",
            "telephone_number": "803-548-8858",
            "fax_number": "803-548-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "NHUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-548-8858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Brandon Long, MA
• Stephanie Hilton Long, MCD
• Denise Lorenzi, RPH
• Lawrence J Lorenzi, DMD
• Sofia Losen, RBT
• Lotus Physical Therapy and Pelvic Health LLC
• Love Counseling, LLC
• Shannon Nicole Lowder, MS OTR/L
• Alice Lowery
• Tyson J Lowrance, DPT

• Dental Clinic/Center in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.