Jeffrey C Kotz DMD PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

JEFFREY C KOTZ DMD PA

Practice address

846 Saint Andrews Blvd Ste C
Charleston, SC 29407-7148

Phone

(843) 225-9002

Fax

(843) 695-6995

NPI assigned

Dec 20, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Clayton Kotz, DMDNPI 1750403135

Title

President

Phone

(843) 225-9002

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jeffrey Clayton Kotz, D.M.D.

  • Dentist
  • Charleston, SC
  • NPI 1750403135
  NPD Authorized official
• Walter R. Long, D.M.D.

  • Endodontics
  • Charleston, SC
  • NPI 1669692349
  NPD

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1437797495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 SAINT ANDREWS BLVD STE C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077148",
            "telephone_number": "843-225-9002",
            "fax_number": "843-695-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 SAINT ANDREWS BLVD STE C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077148",
            "telephone_number": "843-225-9002",
            "fax_number": "843-695-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C KOTZ DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "KOTZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-225-9002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corin Elg Jaynes, PA
• Zachary Jeanes, M.D., PH.D.
• Jebediah S Christy DDS-Charleston PLLC
• Tamara Jefferies
• Cheryl Whitney Jefferson, LISW-CP
• Jeffrey K Richards MD
• Patricia Hahn Jeffrey, LPC
• Whitney A. Jeffrey, PA-C
• Jenkins Home Care LLC
• Amy Jenkins

• Endodontics in Charleston, SC
• Providers in Charleston, SC by specialty
• Endodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.