Active NPI
Dental Associates of Easley, PA
- General Practice Dentistry
- Easley, SC
National Provider Identifier
1295793289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTAL ASSOCIATES OF EASLEY, PA
- Practice address
- 415 S Pendleton St
Easley, SC 29640-3051 - Phone
- (864) 859-0111
- Fax
- (864) 859-0112
- NPI assigned
- May 2, 2006
- 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
- Darla Lucas
- Title
- Regional Director of Operations
- Phone
- (864) 523-5771
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
415 S Pendleton St
Easley, SC 29640-3051
Mailing address
415 S Pendleton St
Easley, SC 29640-3051
Phone (864) 859-0111
Other names 1
- Downtown Dental Associates of Florence
National Provider Directory
National Provider Directory- Tax ID family
- Dental Associates of Easley PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Florence, SC
- NPI 1033918917
Locations
415 S Pendleton St
Easley, SC 29640
Phone (864) 306-4072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1295793289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S PENDLETON ST",
"city": "EASLEY",
"state": "SC",
"postal_code": "296403051",
"telephone_number": "864-859-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S PENDLETON ST",
"city": "EASLEY",
"state": "SC",
"postal_code": "296403051",
"telephone_number": "864-859-0111",
"fax_number": "864-859-0112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL ASSOCIATES OF EASLEY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "LUCAS",
"authorized_official_first_name": "DARLA",
"authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "864-523-5771"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Downtown Dental Associates of Florence",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.