Piedmont Comprehensive Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PIEDMONT COMPREHENSIVE DENTAL, LLC

Practice address

8024 Augusta Rd Unit G
Piedmont, SC 29673-6595

Phone

(864) 277-9343

Fax

(864) 277-9368

NPI assigned

Mar 2, 2011

Organization subpart

No

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

Authorized official

Name

Trenia Jeanes

Title

Office Manager

Phone

(864) 277-9343

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.

• Tyler Brantley Rae, DMD

  • General Practice Dentistry
  • Piedmont, SC
  • NPI 1144874132
  NPD (past)

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1376841221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8024 AUGUSTA RD UNIT G",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736595",
            "telephone_number": "864-277-9343",
            "fax_number": "864-277-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8024 AUGUSTA RD UNIT G",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736595",
            "telephone_number": "864-277-9343",
            "fax_number": "864-277-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT COMPREHENSIVE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "JEANES",
        "authorized_official_first_name": "TRENIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-277-9343"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kishan Patel, PHARM D
• Peception Eye Care
• Pediatric Services of America, LLC
• Perficient Voyages LLC
• Physician Services Group of South Carolina
• Piedmont Family Pharmacy LLC
• Piedmont Family Practice LLC
• Piedmont Skilled Nursing, LLC
• Positive Starts LLC
• Brian Possee, PHARMD

• General Practice Dentistry in Piedmont, SC
• Providers in Piedmont, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.