River Falls Peditric Dentistry, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3620 Issued in SC

Legal business name

RIVER FALLS PEDITRIC DENTISTRY, PA

Practice address

505 Squires PT
Duncan, SC 29334-8867

Phone

(864) 433-6888

Fax

(864) 433-6889

NPI assigned

May 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Aunchana Tocharoen, DMDNPI 1609821123

Title

Owner

Phone

(864) 433-6888

Specialties & licenses 1

Addresses

Practitioners 2

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

• Aunchana Tocharoen, DMD

  • Pediatric Dentistry
  • Duncan, SC
  • NPI 1609821123
  NPD (past) Authorized official
• Lee Hoang Mai, DMD

  • Pediatric Dentistry
  • Duncan, SC
  • NPI 1710479795
  NPD (past)

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1538516042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SQUIRES PT",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293348867",
            "telephone_number": "864-433-6888",
            "fax_number": "864-433-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SQUIRES PT",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293348867",
            "telephone_number": "864-433-6888",
            "fax_number": "864-433-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER FALLS PEDITRIC DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "TOCHAROEN",
        "authorized_official_first_name": "AUNCHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-433-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "3620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regenesis Organization Community Health Center (Regenesis Health Care)
• Regenesis Organization Community Health Center (ReGenesis Health Care Pharmacy #3)
• Resource Medical Group, LLC
• Hope Rhodes, LPN
• River Falls Oral Surgery
• Leah Mayela Rogers, MOT, OTR/L
• Kenneth Oscar Saad, PHARMD
• Dennis Bradley Sain, AT
• Anne Maigue San Buenaventura, PHARMACIST
• Margaret Elizabeth Schell, COTA/L

• Dental Clinic/Center in Duncan, SC
• Providers in Duncan, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.