Aiken Family Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AIKEN FAMILY DENTAL PA

Practice address

341 Newberry Street NW
Aiken, SC 29801

Phone

(803) 649-0044

Fax

(803) 643-0570

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Allen Holdorf, DMDNPI 1033148960

Title

President

Phone

(803) 649-0044

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Bruce Allen Holdorf, DMD

  • Dentist
  • Aiken, SC
  • NPI 1033148960
  NPD (past) Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376566356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1057",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298021057",
            "telephone_number": "803-649-0044",
            "fax_number": "803-643-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 NEWBERRY STREET NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29801",
            "telephone_number": "803-649-0044",
            "fax_number": "803-643-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIKEN FAMILY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLDORF",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-649-0044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aiken Emergency Physicians
• Aiken Emergency Physicians, PA
• Aiken Endodontics
• Aiken Eye Care One, LLC
• Aiken Eyecare One LLC
• Aiken Family Dentistry, LLC
• Aiken Family Physicians PC
• Aiken Integrated Medical, PC
• Aiken Internal Med PA
• Aiken Medical PC

• All providers in Aiken, SC
• General Practice 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.