Organization Active NPI

Dawson and Dawson Family Dentistry

  • Dentist
  • Florence, SC
National Provider Identifier
1164603296
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2271 Issued in SC
Legal business name
DAWSON AND DAWSON FAMILY DENTISTRY
Doing business as
Dawson and Dawson Family Dentistry
Practice address
226 S. Ravenel St
Florence, SC 29506-2825
Phone
(843) 665-7827
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Dr. Thelma P Dawson
Title
Dentist
Phone
(843) 665-7827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2271 SC Primary

Addresses

Primary practice location

226 S. Ravenel St
Florence, SC 29506-2825

Mailing address

226 S Ravenel St
Florence, SC 29506-2825
Phone (843) 665-7827

Other identifiers 1

IdentifierTypeStateIssuer
Z22271MedicaidSC

Other names 1

  • Dawson and Dawson Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dawson and Dawson Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

226 S Ravenel St
Florence, SC 29506
Phone (843) 665-7827

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1164603296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S RAVENEL ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062825",
            "telephone_number": "843-665-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S. RAVENEL ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062825",
            "telephone_number": "843-665-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWSON AND DAWSON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "THELMA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-665-7827",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "2271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z22271",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dawson and Dawson Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.