Provider Demographics
NPI:1851170906
Name:SATYAM DENTAL INFRASTRUCTURE LLC
Entity Type:Organization
Organization Name:SATYAM DENTAL INFRASTRUCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEHA
Authorized Official - Middle Name:SATYANARAYAN
Authorized Official - Last Name:TAORI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:551-689-0313
Mailing Address - Street 1:2361 HARVESTER AVE
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-8415
Mailing Address - Country:US
Mailing Address - Phone:551-689-0313
Mailing Address - Fax:
Practice Address - Street 1:5527 ARDEN MILL DRIVE
Practice Address - Street 2:SUITE 105
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715
Practice Address - Country:US
Practice Address - Phone:803-650-6424
Practice Address - Fax:803-650-6445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty