SOUTHERN DENTAL ASSOCIATES – NPI #1013435429
Clinic/Center

SOUTHERN DENTAL ASSOCIATES is an AHC clinic located in AIKEN, SC. NPPES has assigned the NPI number 1013435429 to SOUTHERN DENTAL ASSOCIATES on September 06, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHERN DENTAL ASSOCIATES” is a dba name, the actual legal business name for this organization is KEVIN G. EUBANKS, D.M.D. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN DENTAL ASSOCIATES below.

NPI Profile for
KEVIN G. EUBANKS, D.M.D

NPI Number
1013435429
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KEVIN G. EUBANKS, D.M.D
Doing Business As (dba): SOUTHERN DENTAL ASSOCIATES
Primary location
174 CREPE MYRTLE DRIVE
AIKEN, SC 29803
Phone: (803) 641-3883 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KELLI GRAY
BUSINESS COORDINATOR
Phone: (803) 641-3883
Updated
Identifiers

Identifiers for SOUTHERN DENTAL ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSOUTH CAROLINA BOARDSC3587
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 SC 3587

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.