Active NPI
Elizabeth Arnett Jabbour DMD
- Dental Clinic/Center
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 3148
- Legal business name
- ELIZABETH ARNETT JABBOUR DMD
- Practice address
- 402 S Pine St
Spartanburg, SC 29302-2712 - Phone
- (864) 582-2371
- Fax
- (864) 585-1949
- NPI assigned
- Oct 20, 2015
- Last updated
- Oct 27, 2021
- 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
- Mary Elizabeth Arnett Jabbour, DMD
- Title
- Owner/Dentist
- Phone
- (864) 582-2371
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 3148 | SC | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
402 S Pine St
Spartanburg, SC 29302-2712
Mailing address
402 S Pine St
Spartanburg, SC 29302-2712
Phone (864) 582-2371
National Provider Directory
National Provider DirectoryLocations
402 S Pine St
Spartanburg, SC 29302
Phone (864) 582-2371
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Spartanburg, SC
- NPI 1407987399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635292800000",
"number": "1235501024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 S PINE ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293022712",
"telephone_number": "864-582-2371",
"fax_number": "864-585-1949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 S PINE ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293022712",
"telephone_number": "864-582-2371",
"fax_number": "864-585-1949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIZABETH ARNETT JABBOUR DMD",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-20",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A",
"authorized_official_last_name": "ARNETT JABBOUR",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "864-582-2371",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "SC",
"license": "3148",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.