FLEETWOOD SQUARE DENTAL, LLC
NPI 1831700178
Clinic/Center - Dental in Easley, SC

NPI Status: Active since August 11, 2020

Contact Information

105 FLEETWOOD DR
EASLEY, SC
ZIP 29640
Phone: (864) 855-2788
Fax: (864) 855-2689

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About FLEETWOOD SQUARE DENTAL, LLC

This page provides the complete NPI Profile along with additional information for Fleetwood Square Dental, Llc, a provider established in Easley, South Carolina operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1831700178 assigned on August 2020. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Sonia Kakkar Dds (Mbr)

NPI
1831700178
Provider Name
FLEETWOOD SQUARE DENTAL, LLC
Entity Type
Organization
Location Address
105 FLEETWOOD DR EASLEY, SC 29640
Location Phone
(864) 855-2788
Location Fax
(864) 855-2689
Mailing Address
105 FLEETWOOD DR EASLEY, SC 29640
Mailing Phone
(864) 855-2788
Mailing Fax
(864) 855-2689
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-11-2020
Last Update Date
08-11-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Blue Secure Dental Gold 1 - PPO
  • Blue Secure Dental Silver 1 - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SONIA KAKKAR DDS

Authorized Official Title
MBR
Authorized Official Phone
(864) 855-2788

Reviews for FLEETWOOD SQUARE DENTAL, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831700178
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28611400114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 1 + 4 + 0 + 0 + 1 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1831700178 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215061106DR. WILLIS ELY HAWKINS III DMD
Individual
Dentist (General Practice)105 FLEETWOOD DR
EASLEY, SC 29640
(864) 855-2788
1073647889FLEETWOOD DENTAL
Organization
Dentist (General Practice)105 FLEETWOOD DR
EASLEY, SC 29640
(864) 855-2788
1346302049 SONIA KAKKAR DDS
Individual
Dentist105 FLEETWOOD DR
EASLEY, SC 29640
(716) 440-8085

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831700178, enumerated in the NPI registry as an "organization" on August 11, 2020

The provider is located at 105 Fleetwood Dr Easley, Sc 29640 and the phone number is (864) 855-2788

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 11, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.