Charles S Bebko DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

30-2390 Issued in SC

Legal business name

CHARLES S BEBKO DMD PC

Practice address

1111 W O Ezell Blvd
Spartanburg, SC 29301-1655

Phone

(864) 576-0947

Fax

(864) 576-7989

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Charles S Bebko, DMD

Title

President

Phone

(864) 576-0947

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jared Earl, D.M.D.

  • Dentist
  • Spartanburg, SC
  • NPI 1922482926
  NPD (past)
• Richard T. Provine, D.M.D

  • General Practice Dentistry
  • Spartanburg, SC
  • NPI 1811074735
  NPD (past)

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1104372085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W O EZELL BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011655",
            "telephone_number": "864-576-0947",
            "fax_number": "864-576-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W O EZELL BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011655",
            "telephone_number": "864-576-0947",
            "fax_number": "864-576-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES S BEBKO DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "BEBKO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-576-0947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "30-2390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whittney Chandler, DPT
• Matthew Chaney, M.D.
• Sukyoon Chang, PA-C, LAT, ATC
• Supinder Channa, N.P.
• Charles M Fogarty, MD, PA
• Brooke Charping
• Jennifer Chason, LMBT
• Stephen Paul Chasteen, LISW-CP, LCSW
• Savy Chea
• Rhonda Danielle Cheatham, NP-C

• Dentist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.