Palmetto Denture Care PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PALMETTO DENTURE CARE PA

Practice address

975 N Church St
Spartanburg, SC 29303

Phone

(864) 582-4308

Fax

(864) 596-4492

NPI assigned

May 14, 2008

Last updated

Jul 1, 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

Mrs. Chris F Just

Title

Business Manager

Phone

(864) 582-4308

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1063689503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 N CHURCH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034104",
            "telephone_number": "864-582-4308",
            "fax_number": "864-596-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 N CHURCH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29303",
            "telephone_number": "864-582-4308",
            "fax_number": "864-596-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO DENTURE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "JUST",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "864-582-4308",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9415",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950162",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lillian Turnage Pack
• Pain Management Assocciates
• Jonathan Painter
• Laura Palko, M.ED, C.O.M.S.
• Jason C Palmer, BA
• Palmetto Early Intervention Service
• Palmetto Hematology Oncology PC
• Palmetto Hematology Oncology PC
• Palmetto Medical Transport
• Erin Lang Palms, PA

• General Practice Dentistry in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.