Active NPI
Samantha Mullis Gaito, DMD
- General Practice Dentistry
- Summerville, SC
National Provider Identifier
1164101705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DGD.10602
- Practice address
- 108 Parish Farms Dr
Summerville, SC 29486-0409 - Phone
- (843) 419-1365
- NPI assigned
- Jul 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DGD.10602 | SC | Primary |
Addresses
Primary practice location
108 Parish Farms Dr
Summerville, SC 29486-0409
Mailing address
8401 Spring Farm Gate Cir
North Charleston, SC 29418-2748
Phone (864) 423-0397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DGD.10602 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1164101705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 SPRING FARM GATE CIR",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294182748",
"telephone_number": "864-423-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 PARISH FARMS DR",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294860409",
"telephone_number": "843-419-1365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAITO",
"first_name": "SAMANTHA",
"middle_name": "MULLIS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-12",
"last_updated": "2023-07-12",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "DGD.10602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.