Provider Demographics
NPI:1992722599
Name:PASUI FAMILY DENTISTRY
Entity type:Organization
Organization Name:PASUI FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PASUI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:864-269-5290
Mailing Address - Street 1:PO BOX 1489
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29641
Mailing Address - Country:US
Mailing Address - Phone:864-269-5290
Mailing Address - Fax:864-220-0409
Practice Address - Street 1:105 SHERINGHAM DRIVE
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29642-3334
Practice Address - Country:US
Practice Address - Phone:864-269-5290
Practice Address - Fax:864-220-0409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC31741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty