Paul Scott Gawrych Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9533 Issued in SC

Practice address

3098 N Highway 17
Mt Pleasant, SC 29466-9315

Phone

(843) 881-1418

NPI assigned

Mar 25, 2018

Last updated

Sep 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Family Dentistry

  • General Practice Dentistry
  • Mount Pleasant, SC
  • NPI 1679773899
  NPD (past)

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

{
    "created_epoch": "1521936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1295230027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 GYPSY LN",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 N HIGHWAY 17",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294669315",
            "telephone_number": "843-881-1418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th St # Gc5110",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "30912",
            "country_code": "US",
            "telephone_number": "706-721-2371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAWRYCH",
        "first_name": "PAUL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-25",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015737",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9533",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Michael Garzone, D.O.
• Jessica Lauren Gaskins, PHARMD
• Juliette Gassert, AU.D.
• Gastrointestinal Surgical Specialists, LLC
• Natalie Louise Gauger, MS, CNS
• Michele Renee Gawryluk, OTR
• Gwendolyn Geddies, RN., C.
• David Randall Geddings, LISW-CP
• Carl David Geier Jr., MD
• Gemstone Therapy

• General Practice Dentistry in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• General Practice Dentistry in South Carolina

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