Bela Family Dentistry of White Knoll

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4708 Issued in SC

Legal business name

BELA FAMILY DENTISTRY OF WHITE KNOLL

Practice address

1915 Southlake Dr.
Lexington, SC 29073

Phone

(803) 479-1795

NPI assigned

Mar 9, 2016

Organization subpart

No

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

Authorized official

Name

Matthew Cook

Title

Owner

Phone

(803) 479-1795

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1457712143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1557",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290711557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 SOUTHLAKE DR.",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29073",
            "telephone_number": "803-479-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELA FAMILY DENTISTRY OF WHITE KNOLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-479-1795"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viktoriya Vitalyevna Bean, M.A.
• Paul Richard Bearden, D.P.M.
• June E. Beasley-Keefe, LMSW
• Horace E Beasley, AU.D.
• Brandy Beason, RDH
• Keisure Belk-Davis
• Christina Bell
• Randy Bell
• Shanice Bell
• Terrica K Bell

• General Practice Dentistry in Lexington, SC
• Providers in Lexington, 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 Jun 23, 2021; 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.