Earl Bostick,Sr. D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EARL BOSTICK,SR. D.M.D.

Practice address

10832 Jacob Smart Blvd.
Ridgeland, SC 29936-2260

Phone

(843) 726-5711

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Earl Bostick Sr., D.M.D.

Title

Owner

Phone

(843) 726-5711

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Kelvin Bostick, D.D.S

  • General Practice Dentistry
  • Ridgeland, SC
  • NPI 1477925824
  NPD (past)
• Tyese Wright, DDS

  • Dentist
  • Ridgeland, SC
  • NPI 1407202757
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1316157704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2260",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299362638",
            "telephone_number": "843-726-5711",
            "fax_number": "843-726-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10832 JACOB SMART BLVD.",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299362260",
            "telephone_number": "843-726-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL BOSTICK,SR. D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "BOSTICK",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-726-5711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9986",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Delaplane, MT
• Fritz Delerme
• Timothy Desousa, CSFA
• Leigh Diotalevi, LISW-CP
• Emelia Laine Dixon
• East Coast Isotopes
• Josieann Mauro Eccles, PA
• Charles Eggleston
• Energy Home Care, LLC
• Melissa Jennifer Etheridge, PHARMACISTS

• General Practice Dentistry in Ridgeland, SC
• Providers in Ridgeland, 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 Oct 10, 2011; 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.