Summerhill Family & Cosmetic Dentistry, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DGD.8561 GD Issued in SC

Legal business name

SUMMERHILL FAMILY & COSMETIC DENTISTRY, PA

Practice address

1604 Summerhill Rd
North Augusta, SC 29841-3067

Phone

(803) 279-6743

NPI assigned

Apr 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Hieu Ngoc Phan, DMD

Title

Dentist

Phone

(803) 397-9115

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Julius A Stephens, DDS

  • General Practice Dentistry
  • North Augusta, SC
  • NPI 1316989411
  NPD (past)

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

{
    "created_epoch": "1461369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461369600000",
    "number": "1073967303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 SUMMERHILL RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413067",
            "telephone_number": "803-279-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 SUMMERHILL RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413067",
            "telephone_number": "803-279-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERHILL FAMILY & COSMETIC DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-23",
        "last_updated": "2016-04-23",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "HIEU",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "803-397-9115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.8561 GD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX8561",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Elaine Strom, ED S LPC
• Lorie Stumpo, M.D.
• Chatale Sullivan, LMSW
• Deborah Mae Sullivan
• Jennifer Bridget Sullivan, PHARM.D.
• Sunshine Therapy Associates, Inc.
• Superior Nursing Solutions
• Leah Sweeney
• T.I.G.a., Inc. Dba Comfort Keepers 429
• Julia A Talmadge, LCSW

• General Practice Dentistry in North Augusta, SC
• Providers in North Augusta, 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 Apr 23, 2016; 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.