NPIMap

Organization Active NPI

Dr. Mary G. Metropol, D.M.D.

  • Dentist
  • Camden, SC
National Provider Identifier
1619382033
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
SC3003 Issued in SC
Legal business name
DR. MARY G. METROPOL, D.M.D.
Practice address
61 Burndale Lane
Camden, SC 29020
Phone
(803) 432-8841
Fax
(803) 432-3821
NPI assigned
Jun 24, 2014
Last updated
Jun 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Mrs. Mary G. Metropol, D.M.D.
Title
Owner/Dentist
Phone
(803) 432-8841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X SC3003 SC Primary

Addresses

Primary practice location

61 Burndale Lane
Camden, SC 29020

Mailing address

61 Burndale Lane
Camden, SC 29020
Phone (803) 432-8841

National Provider Directory

National Provider Directory
Tax ID family
Dr Mary G Metropol DMD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1619382033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BURNDALE LANE",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "29020",
            "telephone_number": "803-432-8841",
            "fax_number": "803-432-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BURNDALE LANE",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "29020",
            "telephone_number": "803-432-8841",
            "fax_number": "803-432-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARY G. METROPOL, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "METROPOL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "803-432-8841",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "SC3003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.