Active NPI
Terry Anne Gutknecht Sams, DMD
- Dentist
- McColl, SC
National Provider Identifier
1467438846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- SC4152
- Practice address
- 103 E Tatum Ave
Palmetto Dental Health Associates
MC Coll, SC 29570-2323 - Phone
- (843) 523-5291
- Fax
- (843) 523-9714
- NPI assigned
- Dec 19, 2005
- Last updated
- Nov 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | SC4152 | SC | Primary |
Addresses
Primary practice location
103 E Tatum Ave
Palmetto Dental Health Associates
MC Coll, SC 29570-2323
Mailing address
103 E Tatum Ave
MC Coll, SC 29570-2323
Phone (843) 523-5291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZX4152 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC4152 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Dental Health Associates PA | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- McColl, SC
- NPI 1821077751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385424000000",
"number": "1467438846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 E TATUM AVE",
"city": "MC COLL",
"state": "SC",
"postal_code": "295702323",
"telephone_number": "843-523-5291",
"fax_number": "843-523-9714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 E TATUM AVE",
"address_2": "PALMETTO DENTAL HEALTH ASSOCIATES",
"city": "MC COLL",
"state": "SC",
"postal_code": "295702323",
"telephone_number": "843-523-5291",
"fax_number": "843-523-9714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTKNECHT SAMS",
"first_name": "TERRY",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2013-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "SC4152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZX4152",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in McColl, SC
- Ashley Small Cline, MCD
- Comfort Home Care Inc
- Community Home Care LLC
- Curlew Dialysis LLC (McColl Dialysis)
- Alaina Grace Gause
- Joanishia Daniela Harrington
- Hayes Farming Transportation & Utilities LLC (Quie The Bee Expedite Services)
- Helping Hands Home Care LLC
- Tabitha Gail Hennagan, LPC
- Kevin A Jasinski, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.