Grace Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GRACE DENTISTRY, LLC

Practice address

16 Commons Blvd
Seneca, SC 29678-2666

Phone

(864) 882-2424

Fax

(864) 882-2476

NPI assigned

May 26, 2015

Last updated

May 26, 2015By 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

Katherine F Lee

Title

Ceo

Phone

(864) 882-2424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1154700946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 COMMONS BLVD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782666",
            "telephone_number": "864-882-2424",
            "fax_number": "864-882-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 COMMONS BLVD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782666",
            "telephone_number": "864-882-2424",
            "fax_number": "864-882-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-882-2424"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald D Gooden, AU.D
• Stacie Marie Goodwin, OTR/L
• Cari McCall Gosnell, M.ED, LCAS, LPC
• Kim Gosnell, NP
• Grace Counseling Center J. Ray Addison PH.D. PRT Et Al
• Brandi Graham
• Michael Ragan Grant, DMD
• Mirryian Clarissa Grant
• Barbara Anne Greb, AU.D.
• Akida Jamal Green, M.D.

• Dental Clinic/Center in Seneca, SC
• Providers in Seneca, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.