Keith Bryan Flynn DMD PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KEITH BRYAN FLYNN DMD PA

Practice address

504 St. James Ave.
Goose Creek, SC 29445-2793

Phone

(843) 797-0782

Fax

(843) 797-0954

NPI assigned

Feb 7, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Keith Bryan Flynn, DMD

Title

President/Owner

Phone

(843) 797-0782

Specialties & licenses 1

Addresses

Tax ID family

Dr Keith B Flynn DMD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Keith B. Flynn DMD PA

  • General Practice Dentistry
  • Goose Creek, SC
  • NPI 1134311830
  NPD tax ID

Locations

Practitioners 1

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

• Stephen David Huch, DMD

  • Dentist
  • Goose Creek, SC
  • NPI 1710964945
  NPD (past)

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1093411407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ST. JAMES AVE.",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452793",
            "telephone_number": "843-797-0782",
            "fax_number": "843-797-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 ST. JAMES AVE.",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452793",
            "telephone_number": "843-797-0782",
            "fax_number": "843-797-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH BRYAN FLYNN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "843-797-0782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Juras, O.D.
• Cathy Kahrs
• Kathleen Grabowski
• Feonia Farrah Kearby, R.D.H
• Monica Deleah Keen, MS, ORT/L
• Carolyn S Kelly
• Andrea Lynn Kennedy, MS, OTR/L
• Debra Liana Kerness, LISW-CP
• Kidd Chiropractic Center PA
• Kidzone OT LLC

• Dentist in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.