Organization Active NPI

Dentim, Inc.

  • Community/Retail Pharmacy
  • Clover, SC
National Provider Identifier
1316048762
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DENTIM, INC.
Practice address
134 S Main St
Clover, SC 29710-1419
Phone
(803) 222-3784
Fax
(803) 222-3796
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William T Dunlap, RPH
Title
Pharmacist in Charge
Phone
(803) 222-3784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

134 S Main St
Clover, SC 29710-1419

Mailing address

134 S Main St
Clover, SC 29710-1419
Phone (803) 222-3784

Other identifiers 1

IdentifierTypeStateIssuer
763227MedicaidSC

Other names 1

  • Peoples Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

134 S Main St
Clover, SC 29710
Phone (803) 222-3784

Practitioners & affiliated clinicians

Practitioners 1

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316048762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S MAIN ST",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297101419",
            "telephone_number": "803-222-3784",
            "fax_number": "803-222-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S MAIN ST",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297101419",
            "telephone_number": "803-222-3784",
            "fax_number": "803-222-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "803-222-3784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "763227",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peoples Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clover, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.