Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FAMILY DENTAL LLC

Practice address

2022-2024 Cherry Road
Rock Hill, SC 29732-2627

Phone

(803) 324-9400

NPI assigned

Nov 14, 2011

Organization subpart

No

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

Authorized official

Name

Peter Stathakis

Title

Cfo

Phone

(312) 274-0308

Specialties & licenses 1

Addresses

Tax ID family

Family Dental Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Family Dental Center, LLC

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1134409345
  NPD tax ID
• Family Dental Center, LLC

  • General Practice Dentistry
  • Columbia, SC
  • NPI 1710254909
  NPD tax ID

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1629355045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022-2024 CHERRY ROAD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322627",
            "telephone_number": "803-324-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022-2024 CHERRY ROAD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322627",
            "telephone_number": "803-324-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "STATHAKIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-274-0308"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Falkovsky, DMD
• Klaudia Falkovsky, DMD
• Philip Neil Falls
• Family Alliance Network LLC
• Family Choice Medical Equipment & Supply
• Family Dental Spa PC (Falko Family Dental)
• Family Dentistry, PC
• Family First Home Healthcare
• Family Medicine & Psychiatry of the Carolinas at Rock Hill PC
• Family Pillars, Inc

• General Practice Dentistry in Rock Hill, SC
• Providers in Rock Hill, 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 Nov 14, 2011; 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.