Meadow Creek Family Dentistry LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

SC4194 Issued in SC

Legal business name

MEADOW CREEK FAMILY DENTISTRY LLC

Practice address

40 N Howard St
Inman, SC 29349-1411

Phone

(864) 472-9019

Fax

(864) 472-3513

NPI assigned

Apr 24, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Levi Hunt, DMD

Title

Owner

Phone

(864) 472-9019

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1356876650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N HOWARD ST",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293491411",
            "telephone_number": "864-472-9019",
            "fax_number": "864-472-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N HOWARD ST",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293491411",
            "telephone_number": "864-472-9019",
            "fax_number": "864-472-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW CREEK FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LEVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-472-9019",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "SC",
            "license": "SC4194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Martin, DO
• Darryl Alan Mast, RPH.
• Autumn Mattox
• Dana Nicole McCarter, FNP-C
• Analyn M McCutchen, RPT
• Allen Lee Merrill, ATC
• Rashaundra Laquon Miller, LMSW
• Heather Moore, LMT
• Albert Moraru, DC
• Kristina Moraru

• Point of Service in Inman, SC
• Providers in Inman, SC by specialty
• Point of Service in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.