Acuity Dental - Sda LLC

Organization Active NPI General Practice Dentistry · Summerville, SC

NPI 1962160705 · NPPES record last updated Nov 29, 2021

Key facts

NPI
1962160705
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ACUITY DENTAL - SDA LLC
Practice address
216 Myers Rd Ste a
Summerville, SC 29486-8819
Phone
(843) 261-2001
Fax
(843) 261-2002
NPI assigned
Nov 29, 2021
Organization subpart
No

Authorized official

Name
Jenni Tomlinson
Title
Credentialing Specialist
Phone
(678) 986-7116

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Acuity Dental - Sda LLC (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

216 Myers Rd Ste a
Summerville, SC 29486-8819

Mailing address

216 Myers Rd Ste a
Summerville, SC 29486-8819
Phone (843) 261-2001

Other providers in Summerville, SC

All providers in Summerville, SC · General Practice Dentistry in South Carolina

Sources for this page

Verify at the official NPI Registry.