Kiawah Village Dentistry, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KIAWAH VILLAGE DENTISTRY, PA

Practice address

154 Gardners Cir
Johns Island, SC 29455-5467

Phone

(843) 768-8376

NPI assigned

Sep 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Dustin Robert Plunkett, DDSNPI 1730530874

Title

Owner

Phone

(843) 768-8376

Specialties & licenses 1

Addresses

Other names 1

• Dustin R. Plunkett DDS, PA Former legal business name

Locations

Practitioners 1

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

• Dustin Robert Plunkett, D.D.S.

  • Dentist
  • Johns Island, SC
  • NPI 1730530874
  NPD Authorized official

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1366057168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GARDENERS CIRCLE PMB # 131",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "29455",
            "telephone_number": "843-768-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 GARDNERS CIR",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294555467",
            "telephone_number": "843-768-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIAWAH VILLAGE DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "PLUNKETT",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-768-8376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dustin R. Plunkett DDS, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kristen Kelliher, DPT
• Karla Kelly, PT
• Marcia Philopena Kennedy, RPH
• Kerr Drug Inc a Delaware Company
• Kerr Drug Inc a Delaware Company
• Kady Christina King, DPT, PT
• Ryan Klaustermeier, RN
• Kyra Jayne Kowalewski
• Valerie Ann Kroesen, M.S. CCC-SLP NBTC
• Alexandra C Krouch, ATC

• Dental Clinic/Center in Johns Island, SC
• Providers in Johns Island, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.