Heritage Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4024 Issued in SC

Legal business name

HERITAGE FAMILY DENTISTRY, LLC

Practice address

533 Saint Matthews Road
Swansea, SC 29160

Phone

(803) 568-2077

NPI assigned

Jul 30, 2012

Last updated

Jul 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Scott Rogers, DMD

Title

Member

Phone

(803) 568-2077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1528314465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 SAINT MATTHEWS ROAD",
            "city": "SWANSEA",
            "state": "SC",
            "postal_code": "29160",
            "telephone_number": "803-568-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 SAINT MATTHEWS ROAD",
            "city": "SWANSEA",
            "state": "SC",
            "postal_code": "29160",
            "telephone_number": "803-568-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "803-568-2077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Discount Drug of Swansea, Inc (Discount Drug of Swansea)
• Lynette Michelle Doran, M.A., CCC-SLP
• Miranda Marie Grice, MSP, CCC-SLP
• Shanee Harris, LMSW
• Jessi Haynes, LPC
• Haley Nichole Hook
• Intentional Intervention Counseling LLC
• Jenna Jeffcoat
• David M. Jenkinson, DO
• Cameron Kaye Lamson

• General Practice Dentistry in Swansea, SC
• Providers in Swansea, 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 Jul 30, 2012; 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.