Provider Demographics
NPI:1609649482
Name:RIVER LANDING DENTISTRY NORTH CHS LLC
Entity Type:Organization
Organization Name:RIVER LANDING DENTISTRY NORTH CHS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IT'S MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECA
Authorized Official - Middle Name:
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 DR UNIT 102
Mailing Address - Street 2:
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492-8612
Mailing Address - Country:US
Mailing Address - Phone:843-242-0645
Mailing Address - Fax:
Practice Address - Street 1:3210 LANDMARK DR STE D
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-8486
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:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental