Provider Demographics
NPI:1144423203
Name:NEW RIVER DENTAL, PA
Entity Type:Organization
Organization Name:NEW RIVER DENTAL, PA
Other - Org Name:WE CARE DENTAL AT NEW RIVER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WALT
Authorized Official - Middle Name:
Authorized Official - Last Name:FINGAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:843-816-6655
Mailing Address - Street 1:247 MEAD RD
Mailing Address - Street 2:B
Mailing Address - City:HARDEEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29927-4427
Mailing Address - Country:US
Mailing Address - Phone:843-816-6655
Mailing Address - Fax:
Practice Address - Street 1:247 MEAD RD
Practice Address - Street 2:B
Practice Address - City:HARDEEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29927-4427
Practice Address - Country:US
Practice Address - Phone:843-816-6655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2861122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty