H P Bozard DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1415 Issued in SC

Legal business name

H P BOZARD DDS PA

Practice address

17 East Hospital Street
Manning, SC 29102

Phone

(803) 433-8090

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By 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. H P Bozard, DDS

Title

Owner - President

Phone

(803) 433-8090

Specialties & licenses 1

Addresses

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.

• Derek L Lee, DMD

  • Dentist
  • Manning, SC
  • NPI 1205090503
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619098670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 178",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "29102",
            "telephone_number": "803-433-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EAST HOSPITAL STREET",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "29102",
            "telephone_number": "803-433-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H P BOZARD DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOZARD",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER - PRESIDENT",
        "authorized_official_telephone_number": "803-433-8090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Meek Greene IV, CRNA
• Cozetta Grier
• Shannon V Griffin
• Mitchell Robert Grunsky, M.D.
• Sandeep Guntuku
• Blonzetta Laverne Hamilton-Demaree
• Lashon M Hammett
• Hanan N Ali (Soutien Gorge & More)
• Have Faith Cares, LLC
• Lisa E Heichberger, MD

• General Practice Dentistry in Manning, SC
• Providers in Manning, 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 Aug 22, 2020; 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.