Laurens Dentistry, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

4024 Issued in SC

Legal business name

LAURENS DENTISTRY, LLC

Practice address

810 E Main St
Suite G
Laurens, SC 29360-3547

Phone

(864) 715-0688

NPI assigned

Oct 18, 2016

Last updated

Oct 18, 2016By 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. Jason Rogers, DMDNPI 1609980036

Title

Owner

Phone

(864) 715-0688

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jason Scott Rogers, DMD

  • Dentist
  • Laurens, SC
  • NPI 1609980036
  NPD Authorized official

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1235680976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E MAIN ST",
            "address_2": "SUITE G",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293603547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E MAIN ST",
            "address_2": "SUITE G",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293603547",
            "telephone_number": "864-715-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENS DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-715-0688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "SC",
            "license": "4024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX4024",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara-Frances Lail, M.S., SSP, LPES
• Alicia Marie Lancaster, COTA/L, LMBT
• Laurens County
• Laurens County Disabilities and Special Needs Board (Pathwise)
• Laurens County EMS
• Laurens Dentistry, LLC
• Laurens Drug Company ,LLC
• Laurens Drug Company, LLC
• Laurens Electric Cooperative
• Laurens Estates, LLC

• Customized Equipment (DME) in Laurens, SC
• Providers in Laurens, SC by specialty
• Customized Equipment (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.