Active NPI
Gentle Dentistry of Lexington, LLC
- General Practice Dentistry
- Lexington, SC
National Provider Identifier
1114519717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- GENTLE DENTISTRY OF LEXINGTON, LLC
- Practice address
- 109 Timbermill Dr
Lexington, SC 29073-7138 - Phone
- (803) 957-2297
- NPI assigned
- Feb 5, 2021
- Last updated
- Feb 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eric Jackson
- Title
- Office Manager
- Phone
- (803) 957-2297
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
109 Timbermill Dr
Lexington, SC 29073-7138
Mailing address
109 Timbermill Dr
Lexington, SC 29073-7138
Phone (803) 957-2297
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Dentist
- Lexington, SC
- NPI 1295931277
-
- General Practice Dentistry
- Lexington, SC
- NPI 1801810163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612483200000",
"number": "1114519717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 TIMBERMILL DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290737138",
"telephone_number": "803-957-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 TIMBERMILL DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290737138",
"telephone_number": "803-957-2297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENTLE DENTISTRY OF LEXINGTON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-05",
"last_updated": "2021-02-05",
"certification_date": "2021-01-21",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "803-957-2297",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.