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NPI Code Detail

MEDICARE: COMPREHENSIVE DENTAL SERVICES LLC

MEDICARE: COMPREHENSIVE DENTAL SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1699596429
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE DENTAL SERVICES LLC
Provider Business Mailing Address
First Line : 434 N DUNCAN BYP
Second Line :
City : UNION
State : SC
Zip : 29379-8604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 434 N DUNCAN BYP
Second Line :
City : UNION
State : SC
Zip : 29379-8604
Country : US
Telephone Number : 864-427-9721
Fax Number :
Authorized Official
Title or Position : DENTIST/OWNER
Name : DR. DENYS ANDRIYENKO
Credential : DDS
Telephone Number : 704-858-6175
Provider Enumeration Date : 10/23/2024
Last Update Date : 10/23/2024

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Directions to “COMPREHENSIVE DENTAL SERVICES LLC ” Practice Location

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