Heath Springs Dental Associates, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HEATH SPRINGS DENTAL ASSOCIATES, P.A.

Practice address

114 N Main St
Heath Springs, SC 29058-0455

Phone

(803) 273-9336

Fax

(803) 273-3202

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

David M Decillis, D.D.S.NPI 1265585749

Title

Dentist

Phone

(803) 273-9336

Specialties & licenses 1

Addresses

Practitioners 2

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

• David M Decillis, D.D.S.

  • General Practice Dentistry
  • Heath Springs, SC
  • NPI 1265585749
  NPD (past) Authorized official
• Christopher B Phillips, D.M.D.

  • General Practice Dentistry
  • Heath Springs, SC
  • NPI 1043363526
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1306999602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "HEATH SPRINGS",
            "state": "SC",
            "postal_code": "290580455",
            "telephone_number": "803-273-9336",
            "fax_number": "803-273-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST",
            "city": "HEATH SPRINGS",
            "state": "SC",
            "postal_code": "290580455",
            "telephone_number": "803-273-9336",
            "fax_number": "803-273-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATH SPRINGS DENTAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "DECILLIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "803-273-9336",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ifediora Foster Afulukwe, MD
• Clarence Campbell III, FNP
• Children First Medical Center
• Tyana Cunningham
• David M Decillis, D.D.S.
• Mollie Annette Hendrix, ATC
• Hsrcc Services, LLC (Heath Springs Residential Care Center)
• Stephen Lewis McDaniel
• Metrolyna Health Care LLC (Heath Springs Medical Center)
• Christopher B Phillips, D.M.D.

• General Practice Dentistry in Heath Springs, SC
• Providers in Heath Springs, 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 Jun 21, 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.