Individual provider Active NPI

George Paul Reid, D.M.D.

  • General Practice Dentistry
  • Chester, SC
National Provider Identifier
1356640478
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7030 Issued in SC
Practice address
754 Wilson St
Chester, SC 29706-8567
Phone
(803) 377-1997
NPI assigned
Mar 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7030 SC Primary

Addresses

Primary practice location

754 Wilson St
Chester, SC 29706-8567

Mailing address

754 Wilson St
Chester, SC 29706-8567
Phone (803) 377-1997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7030SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Dentistry LLC CurrentSince Feb 23, 2025 Accepting new patients
Piedmont Dental Partners LLC General Practice PastSince May 1, 2020 Accepting new patients
Reid Family Dental, LLC PastSince Oct 1, 2020 Accepting new patients

Locations

754 Wilson St
Chester, SC 29706
Phone (803) 377-1997

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1356640478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 WILSON ST",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297068567",
            "telephone_number": "803-377-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 WILSON ST",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297068567",
            "telephone_number": "803-377-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "GEORGE",
        "middle_name": "PAUL",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-16",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "7030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.