Active NPI
Augustus M. Boland, Jr., D.M.D.
- General Practice Dentistry
- Barnwell, SC
National Provider Identifier
1285963488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- AUGUSTUS M. BOLAND, JR., D.M.D.
- Practice address
- 53 Irving St
Barnwell, SC 29812-1535 - Phone
- (803) 259-1193
- Fax
- (803) 259-1271
- NPI assigned
- Dec 17, 2009
- 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
- Louise B. Ross
- Title
- Manager
- Phone
- (803) 258-1193
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
53 Irving St
Barnwell, SC 29812-1535
Mailing address
53 Irving St
Barnwell, SC 29812-1535
National Provider Directory
National Provider DirectoryLocations
53 Irving St
Barnwell, SC 29812
Phone (803) 259-1193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261008000000",
"number": "1285963488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 IRVING ST",
"city": "BARNWELL",
"state": "SC",
"postal_code": "298121535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 IRVING ST",
"city": "BARNWELL",
"state": "SC",
"postal_code": "298121535",
"telephone_number": "803-259-1193",
"fax_number": "803-259-1271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUGUSTUS M. BOLAND, JR., D.M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-17",
"last_updated": "2009-12-17",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "LOUISE",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "803-258-1193"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barnwell, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.