Provider Demographics
NPI:1013408301
Name:RIVER LANDING DENTISTRY LLC
Entity Type:Organization
Organization Name:RIVER LANDING DENTISTRY LLC
Other - Org Name:SMILE PARTNERS OF CHARLESTON LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ZECHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:843-242-0645
Mailing Address - Street 1:145 RIVER LANDING DRIVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492
Mailing Address - Country:US
Mailing Address - Phone:843-242-0645
Mailing Address - Fax:
Practice Address - Street 1:145 RIVER LANDING DRIVE
Practice Address - Street 2:SUITE 102
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492
Practice Address - Country:US
Practice Address - Phone:843-242-0645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental