Kenneth C. Dobson DMD Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2486 Issued in SC

Legal business name

KENNETH C. DOBSON DMD INC.

Doing business as

Keowee Smiles

Practice address

241 Stork Way
Seneca, SC 29678-1039

Phone

(864) 888-3102

Fax

(864) 888-3124

NPI assigned

Apr 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Charles Dobson, D.M.D.

Title

Owner/Dentist

Phone

(864) 888-3102

Specialties & licenses 2

Addresses

Other names 1

• Keowee Smiles Doing business as

Locations

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1598909467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 STORK WAY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781039",
            "telephone_number": "864-888-3102",
            "fax_number": "864-888-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 STORK WAY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781039",
            "telephone_number": "864-888-3102",
            "fax_number": "864-888-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C. DOBSON DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "864-888-3102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2486",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keowee Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Seneca, SC
• Providers in Seneca, 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 Feb 19, 2014; 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.