Provider Demographics
NPI:1326669714
Name:RIVER LANDING DENTISTRY AT NEXTON LLC
Entity Type:Organization
Organization Name:RIVER LANDING DENTISTRY AT NEXTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECA
Authorized Official - Middle Name:YUTZY
Authorized Official - Last Name:ZECHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:443-850-2189
Mailing Address - Street 1:200 BRIGHTON PARK BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-3000
Mailing Address - Country:US
Mailing Address - Phone:843-242-0645
Mailing Address - Fax:
Practice Address - Street 1:200 BRIGHTON PARK BLVD STE A
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-3000
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:2020-04-27
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental