Medical Park Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MEDICAL PARK DENTISTRY

Practice address

2039 Medical Park Dr
Newberry, SC 29108-2249

Phone

(803) 276-3371

NPI assigned

Jul 7, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Charles

Title

Coo

Phone

(843) 557-5396

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Zybko Broom, DMD

  • General Practice Dentistry
  • Newberry, SC
  • NPI 1447885173
  NPD
• Michelle Tartaglia, DMD

  • Dentist
  • Newberry, SC
  • NPI 1851675193
  NPD
• Robert P. McCartha, D.M.D.

  • General Practice Dentistry
  • Newberry, SC
  • NPI 1619190246
  NPD (past)

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1225761232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290360699",
            "telephone_number": "843-557-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 MEDICAL PARK DR",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082249",
            "telephone_number": "803-276-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARK DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "843-557-5396",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Northcutt McCoy, DMD
• Florence McCullough
• Candace McElveen
• Dipa McGee
• Becky Bedenbaugh McGlohorn
• Jordan Charles Meyers, PHARMD
• Michael J White MD, LLC
• Midland Family Medicine
• Midlands Chiropractic
• Midlands Physical Therapy and Wellness LLC.

• Dental Clinic/Center in Newberry, SC
• Providers in Newberry, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.