NPIMap

Organization Active NPI

Advanced Dental Solutions, LLC

  • General Practice Dentistry
  • Hilton Head, SC
National Provider Identifier
1386734804
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
SC3319 Issued in SC
Legal business name
ADVANCED DENTAL SOLUTIONS, LLC
Practice address
32 Office Park Rd
Suite 207
Hilton Head, SC 29928-4637
Phone
(843) 785-4801
Fax
(843) 785-7804
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Lloyd Gudz, D.M.D.NPI 1871683391
Title
President
Phone
(843) 785-4801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X SC3319 SC Primary

Addresses

Primary practice location

32 Office Park Rd
Suite 207
Hilton Head, SC 29928-4637

Mailing address

32 Office Park Rd
Suite 207
Hilton Head, SC 29928-4637
Phone (843) 785-4801

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386734804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 OFFICE PARK RD",
            "address_2": "SUITE 207",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299284637",
            "telephone_number": "843-785-4801",
            "fax_number": "843-785-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 OFFICE PARK RD",
            "address_2": "SUITE 207",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299284637",
            "telephone_number": "843-785-4801",
            "fax_number": "843-785-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUDZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-785-4801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC3319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

  • 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.