Carolina Elite Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CAROLINA ELITE DENTAL

Doing business as

Cox Family Dentistry and Kingston Village Dentistry

Practice address

Kingston Village Dentistry
900 A Main Street
Conway, SC 29526-2952

Phone

(843) 488-3710

NPI assigned

Jun 29, 2022

Last updated

Jun 29, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

CAROLINA ELITE DENTALAs reported in NPPES

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

Authorized official

Name

Cindy M Hawkins

Title

Vice President of Operations

Phone

(912) 660-3432

Specialties & licenses 1

Addresses

Other names 1

• Cox Family Dentistry and Kingston Village Dentistry Doing business as

Part of

Carolina Elite Dental

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John H Fulmer Jr., D.M.D.

  • General Practice Dentistry
  • Conway, SC
  • NPI 1528087467
  NPD (past)

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1508598384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CUNNINGTON AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294059312",
            "telephone_number": "912-660-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KINGSTON VILLAGE DENTISTRY",
            "address_2": "900 A MAIN STREET",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295262952",
            "telephone_number": "843-488-3710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cox Family Dentistry",
            "address_2": "101 Perpetual Square Drive",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296212962",
            "country_code": "US",
            "telephone_number": "864-226-0959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA ELITE DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA ELITE DENTAL",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "912-660-3432"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cox Family Dentistry and Kingston Village Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caris Healthcare LLC (Caris Healthcare , Myrtle Beach)
• Orlane Marie Caro, MD
• Carolina Care Medical Supply LLC
• Carolina Center for Cosmetic and Restorative Dentistry, LLC
• Carolina Coast Counseling and Consulting
• Carolina Forest Periodontics, PA
• Carolina Healthcare LLC (Compass Post Acute Rehabilitation)
• Carolina Hospitalists
• Carolina Radiology Associates LLC
• Winferd Annette Carraway, MS

• Dentist in Conway, SC
• Providers in Conway, 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 29, 2022; 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.