Organization Active NPI

Al Ivester,DMD,PA

  • Dentist
  • Mt Pleasant, SC
National Provider Identifier
1033328620
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1803 Issued in SC
Legal business name
AL IVESTER,DMD,PA
Practice address
636 Long Point Rd Unit F
Belle Hall Shopping Center
Mt Pleasant, SC 29464-8286
Phone
(843) 971-8668
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William Alan Ivester, DMD
Title
President
Phone
(843) 971-8668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1803 SC Primary

Addresses

Primary practice location

636 Long Point Rd Unit F
Belle Hall Shopping Center
Mt Pleasant, SC 29464-8286

Mailing address

176 Scott St
Daniel Island, SC 29492-7539
Phone (843) 216-0419

National Provider Directory

National Provider Directory

Locations

636 Long Point Rd
Unit F
Mt Pleasant, SC 29464
Phone (843) 971-8668

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033328620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 SCOTT ST",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927539",
            "telephone_number": "843-216-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 LONG POINT RD UNIT F",
            "address_2": "BELLE HALL SHOPPING CENTER",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648286",
            "telephone_number": "843-971-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL IVESTER,DMD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IVESTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-971-8668",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "1803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.