NPIMap

Organization Active NPI

Stono Dental Care, PA

  • Dentist
  • Johns Island, SC
National Provider Identifier
1255875951
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8100 Issued in SC
Legal business name
STONO DENTAL CARE, PA
Practice address
3750 Savannah Hwy
Ste. B
Johns Island, SC 29455-7909
Phone
(843) 203-5429
NPI assigned
Dec 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Dr. Bryan Andrew Game, DMDNPI 1477831691
Title
Dentist
Phone
(843) 203-5429

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8100 SC Primary

Addresses

Primary practice location

3750 Savannah Hwy
Ste. B
Johns Island, SC 29455-7909

Mailing address

3750 Savannah Hwy
Ste. B
Johns Island, SC 29455-7909
Phone (843) 203-5429

National Provider Directory

National Provider Directory

Locations

3750 Savannah Hwy
Ste B
Johns Island, SC 29455
Phone (843) 203-5429

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1255875951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 SAVANNAH HWY",
            "address_2": "STE. B",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294557909",
            "telephone_number": "843-203-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 SAVANNAH HWY",
            "address_2": "STE. B",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294557909",
            "telephone_number": "843-203-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONO DENTAL CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "GAME",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-203-5429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "8100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.