Eh Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9142 Issued in SC

Legal business name

EH DENTAL, LLC

Doing business as

East Highland Dentistry

Practice address

303 E Highland Ave Ste 105
Anderson, SC 29621-4767

Phone

(864) 226-5058

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Charles Preston Payne Jr., DMD

Title

Owner

Phone

(864) 226-5058

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• East Highland Dentistry Doing business as

Locations

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1619455417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E HIGHLAND AVE STE 105",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214767",
            "telephone_number": "864-226-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E HIGHLAND AVE STE 105",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214767",
            "telephone_number": "864-226-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EH DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "PRESTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-226-5058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851834964",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Highland Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Kenneth Edsall I, M. D.
• Lillian Edsall
• Alysse Leah Edwards, MHS, OTR/L
• Caroline B Edwards
• William Vendel Edwards, RPH.
• Jessica Elizabeth Eiland, FNP-BC
• Emma Eitenmiller, PA-C
• Elco Enterprises LLC
• Electric City Eye Care
• Electric City Therapy LLC

• General Practice Dentistry in Anderson, SC
• Providers in Anderson, 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 2, 2018; 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.