Immediate Dental Group LLC - North Charleston

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IMMEDIATE DENTAL GROUP LLC - NORTH CHARLESTON

Doing business as

Immediate Dental Group LLC

Practice address

5900 Rivers Ave
Unit X
North Charleston, SC 29406-6054

Phone

(843) 480-5900

Fax

(843) 480-9502

NPI assigned

Nov 20, 2012

Last updated

Jan 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Zachary Todd Daugherty

Title

Business Manager

Phone

(843) 480-9500

Specialties & licenses 1

Addresses

Other names 1

• Immediate Dental Group LLC Doing business as

Locations

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1154665776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 RIVERS AVE",
            "address_2": "UNIT X",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066054",
            "telephone_number": "843-480-5900",
            "fax_number": "843-480-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 RIVERS AVE",
            "address_2": "UNIT X",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066054",
            "telephone_number": "843-480-5900",
            "fax_number": "843-480-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE DENTAL GROUP LLC - NORTH CHARLESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "843-480-9500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immediate Dental Group LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Ihme
• Ilderton Conversion Co
• Morgan Iloncaie, D.C.
• Imagine Physical Therapy North Rhett LLC (Imagine Physical Therapy)
• Julia Iman, MD
• Imperial Home Care Services LLC
• Indigo Therapy Services LLC
• Lori S Infinger, FNP
• Robin L. Infinger, FNP
• Julianne Weddell Ingham, APRN

• Dentist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.