Organization Active NPI

The Dentaler

  • General Practice Dentistry
  • Greer, SC
National Provider Identifier
1114194446
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3060 Issued in SC
Legal business name
THE DENTALER
Practice address
305 Bennett Center Dr
Greer, SC 29650-1259
Phone
(864) 877-8008
Fax
(864) 877-8082
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Mrs. Laura Christopher
Title
Office Manager
Phone
(864) 877-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3060 SC Primary

Addresses

Primary practice location

305 Bennett Center Dr
Greer, SC 29650-1259

Mailing address

305 Bennett Center Dr
Greer, SC 29650-1259
Phone (864) 877-8008

Other identifiers 1

IdentifierTypeStateIssuer
1790863868MedicaidSC

National Provider Directory

National Provider Directory

Locations

305 Bennett Center Dr
Greer, SC 29650
Phone (864) 877-8008

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1114194446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BENNETT CENTER DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501259",
            "telephone_number": "864-877-8008",
            "fax_number": "864-877-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BENNETT CENTER DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501259",
            "telephone_number": "864-877-8008",
            "fax_number": "864-877-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTALER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-877-8008",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790863868",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.