Church DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHURCH DMD LLC

Practice address

210 Seven Farms Dr Ste 103
Daniel Island, SC 29492-7563

Phone

(843) 881-4545

NPI assigned

Dec 29, 2020

Last updated

Dec 29, 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

Christina F Church, DMDNPI 1740661925

Title

Owner

Phone

(904) 556-2332

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina Church, D.M.D.

  • Dentist
  • Mount Pleasant, SC
  • NPI 1740661925
  NPD Authorized official

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1295322899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SEVEN FARMS DR STE 103",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927563",
            "telephone_number": "843-881-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SEVEN FARMS DR STE 103",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927563",
            "telephone_number": "843-881-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-556-2332",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Wilkins Carroll, PHARM.D.
• Charleston Healthspan Institute
• Charleston Men's and Marriage Counseling, LLC
• Chiroserv Inc
• Aliece Wilson Christopher, PT
• Heidi L Clower, MS/CCC-A
• Ann Coble, LD
• Thomas Compagna
• Colleen Ann Corcoran, RN BSN
• Hillary Coulbourne, COTA

• Dental Clinic/Center in Daniel Island, SC
• Providers in Daniel Island, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.