Jason Ervin Prescott, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4379 Issued in SC

Practice address

1051 Johnnie Dodds Blvd Ste a
Mount Pleasant, SC 29464-3100

Phone

(843) 388-9690

Fax

(843) 388-9703

NPI assigned

Sep 23, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1508016825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 JOHNNIE DODDS BLVD STE A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643100",
            "telephone_number": "843-388-9690",
            "fax_number": "843-388-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 JOHNNIE DODDS BLVD STE A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643100",
            "telephone_number": "843-388-9690",
            "fax_number": "843-388-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESCOTT",
        "first_name": "JASON",
        "middle_name": "ERVIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preferred Eyecare Center, LLC
• Premier Eye Care, P.a.
• Premier Health & Wellness,LL
• Premier Patient Advocates, LLC
• Elizabeth H. Prendergast, M.A., M.ED., LPCI
• Aisha Simmons President, PHARM D
• Jane Davis Prevost, LPC
• Brianna Victoria Price
• Brooke Price
• James L Price Jr., MD

• 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 Sep 23, 2008; 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.