Irby Street Dental Health Center, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2464 Issued in SC

Legal business name

IRBY STREET DENTAL HEALTH CENTER, P.C.

Doing business as

PeeDee Dental

Practice address

943 S Irby St Unit a
Florence, SC 29501-5238

Phone

(843) 673-0075

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Dan Spears

Title

Owner/President

Phone

(843) 673-0075

Specialties & licenses 1

Addresses

Other names 1

• PeeDee Dental Doing business as

Locations

Practitioners 1

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

• Katherine Rood, DMD

  • General Practice Dentistry
  • Florence, SC
  • NPI 1164944955
  NPD (past)

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1104225325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 S IRBY ST UNIT A",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015238",
            "telephone_number": "843-673-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 S IRBY ST UNIT A",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015238",
            "telephone_number": "843-673-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRBY STREET DENTAL HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "843-673-0075"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PeeDee Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Florence, SC
• Providers in Florence, 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 14, 2014; 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.