Organization
NORTH RIVERS DENTAL ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L RILEY CATES DMD (PRES OWNER)
(843) 553-7827
Entity
Organization
Contact information
Practice address
2070 NORTHBROOK BLVD, SUITE 12A, NORTH CHARLESTON, SC 29406
(843) 553-7827
(843) 797-2559
Mailing address
2070 NORTHBROOK BLVD, SUITE 12A, NORTH CHARLESTON, SC 29406
(843) 553-7827
(843) 797-2559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00823911
UNITED CONCORDIA
—
Enumeration date
11/09/2006
Last updated
08/22/2020
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