Organization Active NPI

York Dental Associates,LLC

  • General Practice Dentistry
  • York, SC
National Provider Identifier
1245313923
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1964 Issued in SC
Legal business name
YORK DENTAL ASSOCIATES,LLC
Practice address
9 W Madison St
York, SC 29745-1143
Phone
(803) 684-6545
Fax
(803) 684-0239
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Benjamin Franklin Sheftall
Title
Owner
Phone
(843) 991-0344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1964 SC Primary

Addresses

Primary practice location

9 W Madison St
York, SC 29745-1143

Mailing address

9 W Madison St
York, SC 29745-1143
Phone (803) 684-6545

National Provider Directory

National Provider Directory

Locations

9 Madison St W
York, SC 29745
Phone (803) 684-6545

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245313923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W MADISON ST",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297451143",
            "telephone_number": "803-684-6545",
            "fax_number": "803-684-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W MADISON ST",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297451143",
            "telephone_number": "803-684-6545",
            "fax_number": "803-684-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK DENTAL ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEFTALL",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-991-0344",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.