Affordable Dentures - Greenville, P. C.

Primary specialty

DentistTaxonomy code 122300000X

License

7019 Issued in NC

Legal business name

AFFORDABLE DENTURES - GREENVILLE, P. C.

Practice address

3903 Augusta Rd
Greenville, SC 29605-1337

Phone

(864) 299-6700

Fax

(864) 299-1300

NPI assigned

Jan 17, 2013

Last updated

Oct 21, 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

Dr. Matthew Hall Ray, DDSNPI 1609979913

Title

Owner

Phone

(864) 299-6700

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Hall Ray, D.D.S.

  • Dentist
  • Greenville, SC
  • NPI 1609979913
  NPD (past) Authorized official
• Cemeron Lavar Longstreet, D.D.S.

  • Dentist
  • Greenville, SC
  • NPI 1548466683
  NPD (past)

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1174861694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 AUGUSTA RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051337",
            "telephone_number": "864-299-6700",
            "fax_number": "864-299-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 AUGUSTA RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051337",
            "telephone_number": "864-299-6700",
            "fax_number": "864-299-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES - GREENVILLE, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-299-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Greenville, SC
• Providers in Greenville, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.