Organization Active NPI

G. Thomas Bryce, Jr., DDS PA

  • Dental Clinic/Center
  • Florence, SC
National Provider Identifier
1003050568
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1217 Issued in SC
Legal business name
G. THOMAS BRYCE, JR., DDS PA
Practice address
1509 W Palmetto St
Florence, SC 29501-4131
Phone
(843) 662-8413
Fax
(843) 662-2672
NPI assigned
Apr 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gordon Thomas Bryce Jr., DDS
Title
Owner
Phone
(843) 662-8413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1217 SC Primary

Addresses

Primary practice location

1509 W Palmetto St
Florence, SC 29501-4131

Mailing address

1509 W Palmetto St
Florence, SC 29501-4131
Phone (843) 662-8413

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1003050568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014131",
            "telephone_number": "843-662-8413",
            "fax_number": "843-662-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014131",
            "telephone_number": "843-662-8413",
            "fax_number": "843-662-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. THOMAS BRYCE, JR., DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "BRYCE",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-662-8413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "1217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.