Jeffrey Scott Wonder, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

8178 Issued in SC

Practice address

4376 Bluffton Parkway
Suite 103
Bluffton, SC 29910

Phone

(843) 706-9600

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Parkway Dental Arts

  • Dental Clinic/Center
  • Bluffton, SC
  • NPI 1730990961
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1013064286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CRESCENT PLANTATION",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104800",
            "telephone_number": "610-781-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4376 BLUFFTON PARKWAY",
            "address_2": "SUITE 103",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "29910",
            "telephone_number": "843-706-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDER",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8178",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-026868-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyona Tyese Wise
• Christopher Louis Wixon, M.D.
• Theodore W Wojcik, MD
• Adam Scott Wolters, D.D.S.
• Women'S Health & Orthopedics, LLC
• Rebecca L Wood
• Rick Wooster, D.C.
• Amanda Paige Wooten, AGPCNP-BC
• Jason Corben Wright, P.A.
• Bradley L Wuest

• Dentist in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.