AQUA DENTAL CORP – NPI #1134644677
Clinic/Center

AQUA DENTAL CORP is an AHC clinic located in TAYLORS, SC. NPPES has assigned the NPI number 1134644677 to AQUA DENTAL CORP on August 05, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 AQUA DENTAL CORP below.

NPI Profile for
AQUA DENTAL CORP

NPI Number
1134644677
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
AQUA DENTAL CORP
Primary location
2801 WADE HAMPTON BLVD STE 118
TAYLORS, SC 29687-2758
Phone: (864) 292-6050 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARIA NUNEZ
OFFICER
Phone: (864) 292-6050
Updated
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)

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.