Organization Active NPI

Gildner Family Dentistry LLC

  • General Practice Dentistry
  • Lexington, SC
National Provider Identifier
1235678301
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8527 Issued in SC
Legal business name
GILDNER FAMILY DENTISTRY LLC
Practice address
602 E Main St
E
Lexington, SC 29072-3729
Phone
(803) 622-5173
NPI assigned
Feb 22, 2017
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Dr. Robert Kenny Gildner, DMDNPI 1609124767
Title
Ownder
Phone
(803) 622-5173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8527 SC Primary

Addresses

Primary practice location

602 E Main St
E
Lexington, SC 29072-3729

Mailing address

602 E Main St
E
Lexington, SC 29072-3729
Phone (803) 622-5173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250505000669 SC DME Supplier - Oral Surgery - Dentist 3971020926 Practice locations: Lexington, SC

National Provider Directory

National Provider Directory

Locations

602 E Main St
Ste E
Lexington, SC 29072
Phone (803) 622-5173

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1235678301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E MAIN ST",
            "address_2": "E",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723729",
            "telephone_number": "803-622-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E MAIN ST",
            "address_2": "E",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723729",
            "telephone_number": "803-622-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILDNER FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "GILDNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KENNY",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "803-622-5173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.