Upstate Periodontics, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2267 Issued in SC

Legal business name

UPSTATE PERIODONTICS, PA

Practice address

214 Frontage Rd
Clemson, SC 29631-1642

Phone

(864) 654-3416

Fax

(864) 654-3384

NPI assigned

May 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Christopher Garrison Sr., D.M.D.NPI 1710016415

Title

Periodontist

Phone

(864) 654-3416

Specialties & licenses 1

Addresses

Practitioners 1

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

• David Christopher Garrison Sr., D.M.D.

  • Periodontics
  • Clemson, SC
  • NPI 1710016415
  NPD (past) Authorized official

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386859262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1804",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "29633",
            "telephone_number": "864-654-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 FRONTAGE RD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311642",
            "telephone_number": "864-654-3416",
            "fax_number": "864-654-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE PERIODONTICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "864-654-3416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "2267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Christine Turner, DPT
• Jeremy Ryan Turner, DPT
• Kelly Leahy Turney, ATC
• University Physical Therapy and Sports Medicine, Inc.
• Upstate Carolina Medical LLC
• Mayra Alejandra Urena, PHARMACY D
• Elizabeth A Venable, MS, LPC
• Pamela June Von Kleist, LISW-CP
• Phison Dai Vy
• Laura Wagner

• Dental Clinic/Center in Clemson, SC
• Providers in Clemson, SC by specialty
• Dental Clinic/Center 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.