Whole Life Dental

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

WHOLE LIFE DENTAL

Doing business as

Whole Life Dental

Practice address

301 Montague Ave
Greenwood, SC 29649-1939

Phone

(864) 229-7092

Fax

(864) 223-1083

NPI assigned

Jan 22, 2019

Last updated

Jan 22, 2019By 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

Kim Waters

Title

Office Manager

Phone

(864) 229-7092

Specialties & licenses 1

Addresses

Other names 1

• Whole Life Dental Doing business as

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1467926659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MONTAGUE AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491939",
            "telephone_number": "864-229-7092",
            "fax_number": "864-223-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MONTAGUE AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491939",
            "telephone_number": "864-229-7092",
            "fax_number": "864-223-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE LIFE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-229-7092"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Life Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Jay White, MD
• Stephanie R White
• Tommy Scott Whitehead, PA
• Lauren R Whitfield, PHARM D
• Rebecca Anne Whittington, APRN
• Whole Life on-Site LLC
• Nancy Hart Wicker, MD
• Lashondray Wideman
• Sally Bethea Wiedemann, RN
• Michael Wieneke, PTA

• Public Health Dentistry in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Public Health Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.