Premier Smiles and Implant Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PREMIER SMILES AND IMPLANT DENTISTRY LLC

Practice address

1461 Ebenezer Rd
Rock Hill, SC 29732-2338

Phone

(803) 324-7461

Fax

(803) 324-7490

NPI assigned

Nov 19, 2019

Last updated

Nov 19, 2019By 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

Mrs. Katharine Raad

Title

Front Desk

Phone

(803) 324-7461

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.

• Jacob Shirk, DMD

  • Dentist
  • Rock Hill, SC
  • NPI 1083080337
  NPD
• Thomas C. Raad, D.M.D.

  • General Practice Dentistry
  • Rock Hill, SC
  • NPI 1205995420
  NPD (past)

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1053957621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322338",
            "telephone_number": "803-324-7461",
            "fax_number": "803-324-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322338",
            "telephone_number": "803-324-7461",
            "fax_number": "803-324-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SMILES AND IMPLANT DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "RAAD",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_title_or_position": "FRONT DESK",
        "authorized_official_telephone_number": "803-324-7461",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Powers, RD
• Premier Chiropractic, LLC
• Premier Clinics of Rock Hill (Premier Clinics)
• Premier Counseling and Consulting, LLC
• Premier Human Services, LLC
• Premier Social Services, LLC
• Premier Transit Solutions, LLP
• Premiere Solutions Group LLC
• Premium Medical Supply LLC
• Toben F. Presler, BCABA

• Dentist in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.