Wateree Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WATEREE FAMILY DENTISTRY

Practice address

947 Highway 1 S
Lugoff, SC 29078-9178

Phone

(803) 438-1845

Fax

(803) 438-6292

NPI assigned

Dec 12, 2024

Last updated

Dec 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Allyson V Monferdini, DMDNPI 1326104837

Title

Dentist

Phone

(803) 438-1845

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allyson Varn Monferdini, D.M.D.

  • General Practice Dentistry
  • Lugoff, SC
  • NPI 1326104837
  NPD Authorized official

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1437966546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 HIGHWAY 1 S",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290789178",
            "telephone_number": "803-438-1845",
            "fax_number": "803-438-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 HIGHWAY 1 S",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290789178",
            "telephone_number": "803-438-1845",
            "fax_number": "803-438-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATEREE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "MONFERDINI",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "803-438-1845",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Vaughn, DPT
• Tracy Wages, CCC-SLP
• Latanya Walker
• Kelly Lynn Warnock, FNP
• Wateree Chiropractic
• Wateree Plaza Drug Corp (Liggett Compounding Pharmacy)
• Manda Werle-Adams, AU.D
• Mackenzie Whitehouse
• Timothy M Wilson Jr., MD

• Dental Clinic/Center in Lugoff, SC
• Providers in Lugoff, 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 Dec 12, 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.