Organization Active NPI

Ashley Dental Associates

  • Dentist
  • North Charleston, SC
National Provider Identifier
1508066242
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3072 Issued in SC
Legal business name
ASHLEY DENTAL ASSOCIATES
Practice address
3210 Landmark Drive
Suite D
North Charleston, SC 29418
Phone
(843) 767-2600
Fax
(843) 552-4405
NPI assigned
Jul 20, 2007
Last updated
Jul 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Roze Nelson
Title
Office Manager
Phone
(843) 767-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3072 SC Primary

Addresses

Primary practice location

3210 Landmark Drive
Suite D
North Charleston, SC 29418

Mailing address

3210 Landmark Drive
Suite D
North Charleston, SC 29418
Phone (843) 767-2600

National Provider Directory

National Provider Directory

Locations

3210 Landmark Dr
Ste D
North Charleston, SC 29418
Phone (843) 242-0645

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1508066242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 LANDMARK DRIVE",
            "address_2": "SUITE D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29418",
            "telephone_number": "843-767-2600",
            "fax_number": "843-552-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 LANDMARK DRIVE",
            "address_2": "SUITE D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29418",
            "telephone_number": "843-767-2600",
            "fax_number": "843-552-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ROZE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-767-2600"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "3072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.