Carolina Regional Dental, P.a.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CAROLINA REGIONAL DENTAL, P.A.

Practice address

415 W Palmetto St
Florence, SC 29501-4424

Phone

(843) 662-1596

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jed P. Tepper Sr., D.M.D.NPI 1902012909

Title

President

Phone

(843) 662-1596

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jed P Tepper, D.M.D.

  • Dentist
  • Florence, SC
  • NPI 1902012909
  NPD (past) Authorized official
• Phillip Lewis Coker, D.M.D.

  • Dentist
  • Florence, SC
  • NPI 1922476910
  NPD (past)
• Nicholas Alexander Schuster, DMD

  • Dentist
  • Bishopville, SC
  • NPI 1396422531
  NPD (past)
• Patricia Ann Snowden, DMD

  • Dentist
  • Florence, SC
  • NPI 1275109977
  NPD (past)

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1639365745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014424",
            "telephone_number": "843-662-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014424",
            "telephone_number": "843-662-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA REGIONAL DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "TEPPER",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-662-1596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9960",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Neurobehavioral Associates
• Carolina Pathways Behavior Health, LLC
• Carolina Pediatric Counseling and Educational Services
• Carolina Podiatry
• Carolina Prudent Group LLC
• Carolina Sleep Diagnostics, Inc
• Carolinas Centers for Sight, PC
• Carolinas Health Specialists LLC
• Carolinas Medical Alliance Inc (Carolinas Medical Alliance Gastroenterology)
• Carolinas Medical Alliance Inc (Carolina Medical Alliance - Cardiolgy)

• Dentist in Florence, SC
• Providers in Florence, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.