Spartanburg Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4203 Issued in SC

Legal business name

SPARTANBURG DENTAL ASSOCIATES

Practice address

233 E Blackstock Rd
Suite J
Spartanburg, SC 29301-2652

Phone

(864) 576-7464

Fax

(864) 576-9678

NPI assigned

Jul 12, 2006

Last updated

Aug 22, 2020By 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. Andy Roy Butcher, DMD

Title

Owner

Phone

(864) 576-7464

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285669622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E BLACKSTOCK RD",
            "address_2": "SUITE J",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012652",
            "telephone_number": "864-576-7464",
            "fax_number": "864-576-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E BLACKSTOCK RD",
            "address_2": "SUITE J",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012652",
            "telephone_number": "864-576-7464",
            "fax_number": "864-576-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANBURG DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTCHER",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-576-7464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Spartanburg, SC
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• 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.