Conestee Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8728 Issued in SC

Legal business name

CONESTEE FAMILY DENTAL

Practice address

409 Donaldson Rd
Greenville, SC 29605-3713

Phone

(864) 277-1603

NPI assigned

Oct 16, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jared Robert Burr, DDSNPI 1639528250

Title

Owner

Phone

(864) 277-1603

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 2

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

• Jared Robert Burr, DDS

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1639528250
  NPD (past) Authorized official
• Hope Tigner Culpepper

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1710108139
  NPD (past)

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1083125264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 DONALDSON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296053713",
            "telephone_number": "864-277-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 DONALDSON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296053713",
            "telephone_number": "864-277-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONESTEE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "BURR",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-277-1603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "2021",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1639528250",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christen Ruiz Concini
• Maria Laura Condenanza, LPC-A
• Rylie Condon, RBT
• Curtis G Condra III, CRNA
• Fallon Nichole Cone, O.D.
• Monica Conliffe
• Connections Case Management
• Jeanne Wallace Connelly, MA
• Mia Martinson Connelly, M.ED, LPC
• Steven Eugene Connelly, MD

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, 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 Oct 17, 2017; 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.