Organization Active NPI

Robert G. Beebe, Jr. DMD, PA

  • General Practice Dentistry
  • Summerville, SC
National Provider Identifier
1295995710
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2849 Issued in SC
Legal business name
ROBERT G. BEEBE, JR. DMD, PA
Practice address
9545 Dorchester Rd
Summerville, SC 29485-8750
Phone
(843) 875-7753
Fax
(843) 851-2120
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Robert G. Beebe Jr., DMDNPI 1700882032
Title
General Dentist
Phone
(843) 875-7753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2849 SC Primary

Addresses

Primary practice location

9545 Dorchester Rd
Summerville, SC 29485-8750

Mailing address

9545 Dorchester Rd
Summerville, SC 29485-8750
Phone (843) 875-7753

National Provider Directory

National Provider Directory

Locations

9545 Dorchester Rd
Summerville, SC 29485
Phone (843) 875-7753

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1295995710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9545 DORCHESTER RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858750",
            "telephone_number": "843-875-7753",
            "fax_number": "843-851-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9545 DORCHESTER RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858750",
            "telephone_number": "843-875-7753",
            "fax_number": "843-851-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G. BEEBE, JR. DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "BEEBE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "843-875-7753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.