Organization Active NPI

Robert E Deane, DMD, Ms,PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Georgetown, SC
National Provider Identifier
1043462047
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2634 Issued in SC
Legal business name
ROBERT E DEANE, DMD, MS,PA
Practice address
301 Church St
Georgetown, SC 29440-2405
Phone
(843) 546-4416
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Robert Edwin Deane, DMDNPI 1790986883
Title
President
Phone
(843) 546-4416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2634 SC Primary

Addresses

Primary practice location

301 Church St
Georgetown, SC 29440-2405

Mailing address

301 Church St
Georgetown, SC 29440-2405
Phone (843) 546-4416

National Provider Directory

National Provider Directory

Locations

301 Church St
Georgetown, SC 29440
Phone (843) 520-4746

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1043462047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CHURCH ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402405",
            "telephone_number": "843-546-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CHURCH ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402405",
            "telephone_number": "843-546-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E DEANE, DMD, MS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "DEANE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-546-4416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "2634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.