Active NPI
Cane Bay Family Dentistry, LLC
- Dental Clinic/Center
- Summerville, SC
National Provider Identifier
1205261633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- SC 8137
- Legal business name
- CANE BAY FAMILY DENTISTRY, LLC
- Practice address
- 1724 State Rd
Suite 4D
Summerville, SC 29483-2842 - Phone
- (843) 352-4454
- NPI assigned
- Sep 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher D Oliver, DMD
- Title
- President
- Phone
- (843) 327-7661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | SC 8137 | SC | Primary |
Addresses
Primary practice location
1724 State Rd
Suite 4D
Summerville, SC 29483-2842
Mailing address
1724 State Rd
Suite 4D
Summerville, SC 29483-2842
National Provider Directory
National Provider Directory- Tax ID family
- Cane Bay Family Dentistry LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Summerville, SC
- NPI 1760834949
Locations
1724 State Rd
Unit 4D
Summerville, SC 29486
Phone (843) 352-4454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378252800000",
"number": "1205261633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 STATE RD",
"address_2": "SUITE 4D",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294832842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 STATE RD",
"address_2": "SUITE 4D",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294832842",
"telephone_number": "843-352-4454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANE BAY FAMILY DENTISTRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-04",
"last_updated": "2013-09-04",
"status": "A",
"authorized_official_last_name": "OLIVER",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-327-7661",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "SC",
"license": "SC 8137",
"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 Sep 4, 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.