Jason S. Annan, DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4231 Issued in SC

Legal business name

JASON S. ANNAN, DDS LLC

Practice address

1441 N Point LN
Mount Pleasant, SC 29464-4624

Phone

(843) 884-7200

Fax

(843) 884-4191

NPI assigned

Mar 4, 2009

Last updated

Mar 4, 2009By 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

Dr. Jason S Annan, DDS

Title

Owner

Phone

(843) 884-7200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1477793321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N POINT LN",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644624",
            "telephone_number": "843-884-7200",
            "fax_number": "843-884-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N POINT LN",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644624",
            "telephone_number": "843-884-7200",
            "fax_number": "843-884-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON S. ANNAN, DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "ANNAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-884-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexandra Nicole Jennings

• General Practice Dentistry in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 Mar 4, 2009; 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.