Angela L Litchfield, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3797 Issued in SC

Practice address

5 Professional Village Cir
Beaufort, SC 29907-1571

Phone

(843) 521-0808

Fax

(843) 521-0945

NPI assigned

Mar 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ladys Island Denal Clinic

  • Dentist
  • Beaufort, SC
  • NPI 1386761955
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386762342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PROFESSIONAL VILLAGE CIR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071571",
            "telephone_number": "843-521-0808",
            "fax_number": "843-521-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PROFESSIONAL VILLAGE CIR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071571",
            "telephone_number": "843-521-0808",
            "fax_number": "843-521-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITCHFIELD",
        "first_name": "ANGELA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9682",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA GROUP",
            "identifier": "923437",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Nicole Linacre, BCBA
• David Gregory Linford, FNP-C
• Kara W Lippold, PHARMD
• Jayla Lipsey, MLS
• Lipsitz Enterprises Inc
• Dayna Terese Lobraico, M.D.
• Rebecca Loftis, OTR/L
• Judy Lohr, MSW, LISW
• Victoria Lomax, OTR/L
• Cynthia Diane Long, FNP

• General Practice Dentistry in Beaufort, SC
• Providers in Beaufort, 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 Jul 8, 2007; 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.