Organization Active NPI

Williams and Tanner, D.M.D., P.a.

  • General Practice Dentistry
  • Mount Pleasant, SC
National Provider Identifier
1114184439
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2601 Issued in SC
Legal business name
WILLIAMS AND TANNER, D.M.D., P.A.
Practice address
1065 Johnnie Dodds Blvd Ste a
Mt Pleasant, SC 29464-6153
Phone
(843) 884-5166
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Stafford Dale Tanner, D.M.D.NPI 1982819348
Title
Dentist
Phone
(843) 884-5166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2601 SC Primary

Addresses

Primary practice location

1065 Johnnie Dodds Blvd Ste a
Mt Pleasant, SC 29464-6153

Mailing address

1065 Johnnie Dodds Blvd Ste a
Mt Pleasant, SC 29464-6153
Phone (843) 884-5166

National Provider Directory

National Provider Directory

Locations

1065 Johnnie Dodds Blvd
Ste A
Mt Pleasant, SC 29464
Phone (843) 884-5166

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1114184439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 JOHNNIE DODDS BLVD STE A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294646153",
            "telephone_number": "843-884-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 JOHNNIE DODDS BLVD STE A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294646153",
            "telephone_number": "843-884-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS AND TANNER, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "STAFFORD",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-884-5166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.