Active NPI
Florence Pediatric Dentistry
- Pediatric Dentistry
- Florence, SC
National Provider Identifier
1245551027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 3963
- Legal business name
- FLORENCE PEDIATRIC DENTISTRY
- Practice address
- 680 Senior Way
Florence, SC 29505 - Phone
- (843) 661-5700
- Fax
- (843) 661-5710
- NPI assigned
- Jun 16, 2010
- 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
- Dr. Kimberly C. Elvington, D. M. D.
- Title
- Dentist
- Phone
- (843) 661-5700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 3963 | SC | Primary |
Addresses
Primary practice location
680 Senior Way
Florence, SC 29505
Mailing address
680 Senior Way
Florence, SC 29505
Phone (843) 661-5700
National Provider Directory
National Provider DirectoryLocations
680 Senior Way
Florence, SC 29505
Phone (843) 661-5700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Florence, SC
- NPI 1336173939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378425600000",
"number": "1245551027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 SENIOR WAY",
"city": "FLORENCE",
"state": "SC",
"postal_code": "29505",
"telephone_number": "843-661-5700",
"fax_number": "843-661-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 SENIOR WAY",
"city": "FLORENCE",
"state": "SC",
"postal_code": "29505",
"telephone_number": "843-661-5700",
"fax_number": "843-661-5710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORENCE PEDIATRIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-16",
"last_updated": "2013-09-06",
"status": "A",
"authorized_official_last_name": "ELVINGTON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "843-661-5700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D. M. D."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "SC",
"license": "3963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
- Florence Obstetrical and Gynecological Associates PA
- Florence Opco, LLC
- Florence Orthopaedic Associates PA
- Florence Orthopedic Associates PA
- Florence Pain Solutions LLC
- Florence Pharmacy LLC
- Florence Physical Therapy Associates, P.C.
- Florence Place Assisted Living & Memory Care LLC
- Florence Podiatry Associates LLC
- Florence Podiatry Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.