Pawleys Island Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3910 Issued in SC

Legal business name

PAWLEYS ISLAND PEDIATRIC DENTISTRY

Practice address

9462 Ocean Highway
Pawleys Island, SC 29585

Phone

(843) 235-0536

Fax

(843) 237-8459

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Meredith Lucius Papadea, DMDNPI 1669555108

Title

President

Phone

(843) 235-0536

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Meredith Lucius Papadea, DMD

  • Pediatric Dentistry
  • Pawleys Island, SC
  • NPI 1669555108
  NPD (past) Authorized official

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366580276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9462 OCEAN HWY",
            "address_2": "PO BOX 3595",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "29585",
            "telephone_number": "843-235-0536",
            "fax_number": "843-237-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9462 OCEAN HIGHWAY",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "29585",
            "telephone_number": "843-235-0536",
            "fax_number": "843-237-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWLEYS ISLAND PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAPADEA",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "LUCIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-235-0536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "3910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9537",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vishal Patel, PHARM. D
• Patricia R. Grant, MD PA
• Pawleys Internal Medicine, P.C.
• Pawleys Island Compounding Pharmacy LLC
• Pawleys Island Compounding Pharmacy LLC
• Pawleys Island Pharm at Litchfield
• Pawleys Island Pharmacy LLC
• Pawleys Island Pharmacy of Litchfield LLC
• Pawleys Service Partners LLC
• Steven J Petersen Jr., MD

• Pediatric Dentistry in Pawleys Island, SC
• Providers in Pawleys Island, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.