Wooley Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WOOLEY FAMILY DENTISTRY

Practice address

1223 Boonehill Rd
Summerville, SC 29483

Phone

(843) 871-9924

Fax

(843) 871-9928

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Melissa A Webster

Title

Office Manager

Phone

(843) 871-9924

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Amanda Gregory Family Cosmetic Dentistry Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Anderson Gregory, DMD

  • General Practice Dentistry
  • Summerville, SC
  • NPI 1336233469
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1508069006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 CROSS COUNTRY RD",
            "address_2": "SUITE #4",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29483",
            "telephone_number": "843-552-4771",
            "fax_number": "843-552-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 BOONEHILL RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29483",
            "telephone_number": "843-871-9924",
            "fax_number": "843-871-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOLEY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-871-9924"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8338",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanda Gregory Family Cosmetic Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Barbara Woodruff
• Catherine A. Woods, APRN
• Florence Emogene Woods, RN
• Gerald Darnell Woods
• Dillon Matthew Woody, MD
• Mary Corinne Dixon Woolwine, MSR CCC-SLP
• Jessica Lee Wooten, P.T.
• Stacey Wread, FNP
• Charlotte Amber Wright, LMFT
• Charmaine Moore Wright, LMSW

• Dentist in Summerville, SC
• Providers in Summerville, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.