BERKELEY PROSTHETIC LABORATORY LLC – NPI #1548660053
Dental Laboratory

A commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.

BERKELEY PROSTHETIC LABORATORY LLC is a dental laboratory located in MONCKS CORNER, SC. NPPES has assigned the NPI number 1548660053 to BERKELEY PROSTHETIC LABORATORY LLC on September 03, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 292200000X from the Health Care Provider Taxonomy code set, which is classified as Dental Laboratory.

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 BERKELEY PROSTHETIC LABORATORY LLC below.

NPI Profile for
BERKELEY PROSTHETIC LABORATORY LLC

NPI Number
1548660053
Enumeration Date

(about 12 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
BERKELEY PROSTHETIC LABORATORY LLC
Primary location
216 CAROLINA AVE
MONCKS CORNER, SC 29461-3785
Phone: (843) 761-6411 Fax: (843) 719-1189
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERIC ROBERTS
LAB MANAGER
Phone: (843) 761-6411
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
292200000X
- Dental Laboratory (Primary)
SC 555

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.