Vaule Dental Carolina Wesmark, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VAULE DENTAL CAROLINA WESMARK, LLC

Practice address

360 W Wesmark Blvd
Sumter, SC 29150-1977

Phone

(803) 469-2060

Fax

(803) 469-2073

NPI assigned

Jan 8, 2018

Last updated

Jan 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rhett Duleba

Title

Ceo

Phone

(980) 328-1666

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1316454689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501977",
            "telephone_number": "803-469-2060",
            "fax_number": "803-469-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501977",
            "telephone_number": "803-469-2060",
            "fax_number": "803-469-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAULE DENTAL CAROLINA WESMARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "DULEBA",
        "authorized_official_first_name": "RHETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "980-328-1666"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gopalbhai Kanijibhai Vaghela, MD
• Elizabeth Marie Vandermark, LMSW
• Elizabeth Ann Vandevelde, ANP-C
• David M Vanpatten, DMD
• Roberto Andre Vazquez Salas, LPC
• Doreen Velazquez
• Joseph Borromeo Villanueva, M.D.
• Thaddeus Houck Vincent Jr., D.M.D.
• Monica Jill Vinson Velazquez, FNP-C

• General Practice Dentistry in Sumter, SC
• Providers in Sumter, 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 Jan 8, 2018; 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.