William Pennington III, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8622 Issued in SC

Practice address

108 Massingill Rd
Pickens, SC 29671-8213

Phone

(864) 878-2428

NPI assigned

Nov 23, 2014

Last updated

Apr 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Great Oaks LLC

  • General Practice Dentistry
  • Pickens, SC
  • NPI 1659397149
  NPD (past) Authorized official
• Mission Dental Mobile LLC

  dba Miles of Smiles

  • Dentist
  • Bessemer, AL
  • NPI 1205694932
  NPD (past)

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

{
    "created_epoch": "1416700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1578960357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MASSINGILL RD",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296718213",
            "telephone_number": "864-878-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MASSINGILL RD",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296718213",
            "telephone_number": "864-878-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-23",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P.S. Chiropractic, Inc
• Thonja Renee Parker
• Debra R Parks, R.N.
• Anne Marie Parrott, RN
• Jennifer Payne, R.PH
• Katherine French Penrod
• Pickens County EMS
• Pickens Dental Associates, PA
• Pickens Family Chiropractic, LLC
• Pickens Family Dentistry LLC

• General Practice Dentistry in Pickens, SC
• Providers in Pickens, 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 Apr 18, 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.