White Knoll Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4290 Issued in SC

Legal business name

WHITE KNOLL DENTISTRY, LLC

Practice address

5545 Platt Springs Rd
Lexington, SC 29073

Phone

(803) 359-3245

NPI assigned

Aug 18, 2009

Last updated

Aug 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Ray Backman, DMDNPI 1154535052

Title

Dentist

Phone

(803) 359-3245

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Ray Backman, D.M.D.

  • Dentist
  • West Columbia, SC
  • NPI 1154535052
  NPD (past) Authorized official
• Kate M Pennella, D.M.D.

  • Dentist
  • Lexington, SC
  • NPI 1831421890
  NPD (past)

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1033341433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 LONGWOOD DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290738537",
            "telephone_number": "803-359-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 PLATT SPRINGS RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29073",
            "telephone_number": "803-359-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE KNOLL DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "BACKMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "803-359-3245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "4290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb E. Wheeler, M.D.
• Matthew Lance Wheeler
• Nathan Benjamin Wheeler, BA
• Shanequa Racquel Whetstone
• White Knoll Comprehensive Dentistry
• Lindsey Busbee White, MSN, FNP-C
• Mellisa L White, OTR/L
• Sarah Emily White, RN
• Terri Lynn White, RN
• Tiana White, LPN

• Dental Clinic/Center in Lexington, SC
• Providers in Lexington, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.