Active NPI
Destination Dental of Duncan LLC
- General Practice Dentistry
- Duncan, SC
National Provider Identifier
1124635495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DESTINATION DENTAL OF DUNCAN LLC
- Practice address
- 155 Deacon Tiller CT
Duncan, SC 29334-8880 - Phone
- (864) 485-2214
- Fax
- (864) 485-2215
- NPI assigned
- Sep 30, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Niranjan Savani, DMD
- Title
- Owner
- Phone
- (215) 550-4590
National Provider Directory
National Provider DirectoryLocations
155 Deacon Tiller Ct
Duncan, SC 29334
Phone (864) 485-2214
Specialties & licenses 6
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Pediatric Dentistry | 1223P0221X | |||
| Periodontics | 1223P0300X | |||
| Prosthodontics | 1223P0700X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
NPPES NPI RegistryPrimary practice location
155 Deacon Tiller CT
Duncan, SC 29334-8880
Mailing address
401 Commerce Dr Ste 108
Fort Washington, PA 19034-2724
Phone (215) 550-4590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2020.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601424000000",
"number": "1124635495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 COMMERCE DR STE 108",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190342724",
"telephone_number": "215-550-4590",
"fax_number": "215-646-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 DEACON TILLER CT",
"city": "DUNCAN",
"state": "SC",
"postal_code": "293348880",
"telephone_number": "864-485-2214",
"fax_number": "864-485-2215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESTINATION DENTAL OF DUNCAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A",
"authorized_official_last_name": "SAVANI",
"authorized_official_first_name": "NIRANJAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-550-4590",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duncan, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.