Organization Active NPI

Wando Family Dentistry, PLLC

  • General Practice Dentistry
  • Mount Pleasant, SC
National Provider Identifier
1417386707
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WANDO FAMILY DENTISTRY, PLLC
Practice address
3377 S Morgans Point Rd
Mount Pleasant, SC 29466-8332
Phone
(843) 972-9700
NPI assigned
Nov 6, 2013
Last updated
Nov 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Vhernadette Moore
Title
Partnership
Phone
(859) 509-5355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3377 S Morgans Point Rd
Mount Pleasant, SC 29466-8332

Mailing address

3377 S Morgans Point Rd
Mount Pleasant, SC 29466-8332
Phone (843) 972-9700

National Provider Directory

National Provider Directory

Locations

3377 S Morgans Point Rd
Mount Pleasant, SC 29466
Phone (843) 972-9700

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1417386707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3377 S MORGANS POINT RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668332",
            "telephone_number": "843-972-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 S MORGANS POINT RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668332",
            "telephone_number": "843-972-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDO FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "VHERNADETTE",
        "authorized_official_title_or_position": "PARTNERSHIP",
        "authorized_official_telephone_number": "859-509-5355"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.