Organization Active NPI

Affordable Dentures & Implants - Greenwood IV, P.C.

  • General Practice Dentistry
  • Greenwood, SC
National Provider Identifier
1497566137
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - GREENWOOD IV, P.C.
Practice address
1431 Bypass 72 NE
Greenwood, SC 29649-2210
Phone
(864) 223-5373
NPI assigned
Jan 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Raymond Louque Jr., DDS
Title
Managing Dentist
Phone
(864) 223-5373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1431 Bypass 72 NE
Greenwood, SC 29649-2210

Mailing address

1431 Bypass 72 NE
Greenwood, SC 29649-2210
Phone (864) 223-5373

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1497566137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 BYPASS 72 NE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296492210",
            "telephone_number": "864-223-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 BYPASS 72 NE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296492210",
            "telephone_number": "864-223-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - GREENWOOD IV, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "LOUQUE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "864-223-5373",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.