Union Dental Group, LLC.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1525 Issued in SC

Legal business name

UNION DENTAL GROUP, LLC.

Practice address

103 S Boyce St
Suite C
Union, SC 29379-2280

Phone

(864) 427-2264

Fax

(864) 427-8373

NPI assigned

Jul 8, 2010

Last updated

Jul 8, 2010By 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. Jim Nasim, DMD

Title

Owner

Phone

(864) 576-7169

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1225340185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BURTON ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015400",
            "telephone_number": "864-576-7169",
            "fax_number": "864-576-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S BOYCE ST",
            "address_2": "SUITE C",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792280",
            "telephone_number": "864-427-2264",
            "fax_number": "864-427-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION DENTAL GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "NASIM",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-576-7169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Union County Commission on Alcohol & Drug Abuse
• Union County Commission on Alcohol and Drug Abuse
• Union County EMS
• Union County Schools
• Union Dental Associates, PA
• Union Disabilities & Special Needs
• Union Family Pharmacy LLC
• Union Hospital District (Carolinas Health Associates Union Surgical Services)
• Union Hospital District (CHA Center for OB/GYN)
• Union Hospital District (Carolinas Health Associates South Main)

• General Practice Dentistry in Union, SC
• Providers in Union, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.