Organization Active NPI

Island Gentle Dental Care, LLC

  • Dentist
  • Charleston, SC
National Provider Identifier
1295006377
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24540 Issued in SC
Legal business name
ISLAND GENTLE DENTAL CARE, LLC
Practice address
1136 Folly Road
Charleston, SC 29412-1136
Phone
(843) 225-7171
NPI assigned
Jan 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
John Floyd Dunbar, DMD
Title
Ceo
Phone
(843) 225-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 24540 SC Primary

Addresses

Primary practice location

1136 Folly Road
Charleston, SC 29412-1136

Mailing address

1136 Folly Road
Charleston, SC 29412-1136
Phone (843) 225-7171

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1295006377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 FOLLY ROAD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294121136",
            "telephone_number": "843-225-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 FOLLY ROAD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294121136",
            "telephone_number": "843-225-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND GENTLE DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-225-7171",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "24540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.