Organization Active NPI

Ammons Implant & Dental Services, LLC

  • Dentist
  • Summerville, SC
National Provider Identifier
1255739934
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6938 Issued in SC
Legal business name
AMMONS IMPLANT & DENTAL SERVICES, LLC
Practice address
1710 Trolley Rd Ste B
Summerville, SC 29485-8281
Phone
(843) 871-0711
NPI assigned
Dec 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Michael William Ammons, DMD
Title
Owner
Phone
(843) 276-0564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6938 SC Primary

Addresses

Primary practice location

1710 Trolley Rd Ste B
Summerville, SC 29485-8281

Mailing address

1710 Trolley Rd Ste B
Summerville, SC 29485-8281
Phone (843) 871-0711

Other names 1

  • Ammons Dental by Design Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1255739934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 TROLLEY RD STE B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858281",
            "telephone_number": "843-871-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 TROLLEY RD STE B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858281",
            "telephone_number": "843-871-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMMONS IMPLANT & DENTAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "AMMONS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-276-0564",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "6938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ammons Dental by Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.