BLUE RIDGE DENTAL LLC – NPI #1427766823
Clinic/Center

BLUE RIDGE DENTAL LLC is an AHC clinic located in BOILING SPRINGS, SC. NPPES has assigned the NPI number 1427766823 to BLUE RIDGE DENTAL LLC on November 14, 2022. 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

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 BLUE RIDGE DENTAL LLC below.

NPI Profile for
BLUE RIDGE DENTAL LLC

NPI Number
1427766823
Enumeration Date

(more than 3 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
BLUE RIDGE DENTAL LLC
Primary location
2224 OLD FURNACE RD
BOILING SPRINGS, SC 29316-5782
Phone: (864) 586-5050 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALEKSEY ZELENKO
PROVIDER
Phone: (864) 580-8767
Updated
Certification Date
Nov 14, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.