Palmetto Prosthodontics, LLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

7043 Issued in SC

Legal business name

PALMETTO PROSTHODONTICS, LLC

Practice address

145 Woodruff Place Cir
Simpsonville, SC 29681-3672

Phone

(864) 757-9433

NPI assigned

Feb 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jason Minton, DMD

Title

President

Phone

(864) 757-9433

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1497146906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 WOODRUFF PLACE CIR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WOODRUFF PLACE CIR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813672",
            "telephone_number": "864-757-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PROSTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "MINTON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-757-9433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "SC",
            "license": "7043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Ulmer Painter, NP
• Sara Palmer, RD, IBCLC
• Palmetto Health (The Pastoral Counseling Center of Simpsonville)
• Palmetto Home Care Service, LLC
• Palmetto Nutrition Consultants
• Bobby Papariella
• Park Medical, LLC
• Julie U. Park, M.D.
• Jennie Ann Parker, PHARMD
• Kenneth Parker

• Prosthodontics in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Prosthodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.