Jennifer P. Patterson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3997 Issued in SC

Legal business name

JENNIFER P. PATTERSON, DMD

Practice address

1243 Savannah Hwy
Charleston, SC 29407-7817

Phone

(843) 573-0733

NPI assigned

Aug 15, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Melvin W McGrier

Title

Administrator

Phone

(843) 573-0733

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Charleston Smiles Doing business as

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1235385758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077817",
            "telephone_number": "843-573-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077817",
            "telephone_number": "843-573-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER P. PATTERSON, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "MCGRIER",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-573-0733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3997",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charleston Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Jenkins, RRT
• Sarah Marie Jenkins, MD
• Shannon C Jenkins
• Jennifer a. Bennice, PHD
• Jennifer Berwick Professional Corporation
• Jennifer Skinner Ms CCC-SLP LLC
• Aaron Hunter Jennings, MD
• Diana Nguyen Jennings, DMD
• Elizabeth A Jennings, CRNA
• Josephine Leigh Jennings, PA-C

• General Practice Dentistry in Charleston, SC
• Providers in Charleston, 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 Aug 15, 2008; 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.