Dental Access Carolina, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL ACCESS CAROLINA, LLC

Practice address

454 S. Anderson Rd
Suite 126
Rock Hill, SC 29730

Phone

(803) 324-3101

Fax

(803) 324-3101

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John E Reese III, DMDNPI 1659598613

Title

Member

Phone

(803) 324-3101

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.

• John E Reese III, D.M.D

  • General Practice Dentistry
  • Rock Hill, SC
  • NPI 1659598613
  NPD (past) Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083834972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11804",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297311804",
            "telephone_number": "803-324-3101",
            "fax_number": "803-324-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 S. ANDERSON RD",
            "address_2": "SUITE 126",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29730",
            "telephone_number": "803-324-3101",
            "fax_number": "803-324-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ACCESS CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "803-324-3101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "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": "ZA9620",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John P Demchak, D.O.
• Susan McBrayer Demchak, MD
• Page Demery
• Andre Ferenc Demeter
• Michael B Denenberg, M.D.
• Dental Associates of Rock Hill Crossing, P.C.
• Dental Professional of South Carolina, P.C.
• Dental Professionals of South Carolina, P.C.
• Dentalworks at Rock Hill, P.C.
• Suzette J Depasquale

• General Practice Dentistry in Rock Hill, SC
• Providers in Rock Hill, 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 Aug 22, 2020; 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.