Active NPI
Restorative Arts Dental PA
- Public Health Dentistry
- Sumter, SC
National Provider Identifier
1043962186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- Legal business name
- RESTORATIVE ARTS DENTAL PA
- Practice address
- 669B W Wesmark Blvd
Sumter, SC 29150-1900 - Phone
- (803) 905-3567
- Fax
- (803) 905-3507
- NPI assigned
- Jan 20, 2022
- Last updated
- Mar 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gloria Angela Stokes Pauly
- Title
- Office Manager
- Phone
- (803) 905-3567
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | NU | Primary |
Addresses
Primary practice location
669B W Wesmark Blvd
Sumter, SC 29150-1900
Mailing address
669B W Wesmark Blvd
Sumter, SC 29150-1900
Phone (803) 905-3567
National Provider Directory
National Provider Directory- Tax ID family
- Restorative Arts Dental PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Sumter, SC
- NPI 1851095053
Locations
669B W Wesmark Blvd
Sumter, SC 29150
Phone (803) 905-3567
Practitioners & affiliated clinicians
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.
-
- Dentist
- Sumter, SC
- NPI 1578409231
-
- General Practice Dentistry
- Sumter, SC
- NPI 1922164706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773014400000",
"number": "1043962186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "669B W WESMARK BLVD",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501900",
"telephone_number": "803-905-3567",
"fax_number": "803-905-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669B W WESMARK BLVD",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501900",
"telephone_number": "803-905-3567",
"fax_number": "803-905-3507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATIVE ARTS DENTAL PA",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-20",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A",
"authorized_official_last_name": "STOKES PAULY",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "ANGELA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "803-905-3567"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
- Sara Elizabeth Clyburn Reid, PHARMD
- Kimberly W Reisenauer, P.A.
- Jordan Thomas Reizer I, DC
- Reliable Medical Equipment of South Carolina, LLC
- Renewed Image Youth & Family Services, LLC
- Restorative Arts Dental PA
- Andrew J. Reynolds, MD
- Edward R Reynolds, PAC
- Jeremy Allen Rhodes, DO
- Russell David Rich, M.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.