NPIMap

Organization Active NPI

Trident General Dentistry PA

  • Dental Clinic/Center
  • Charleston, SC
National Provider Identifier
1669747291
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TRIDENT GENERAL DENTISTRY PA
Practice address
6335 Dorchester Rd
Charleston, SC 29418-5103
Phone
(843) 552-2580
Fax
(843) 552-2596
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. James Eric Layton, DMD, MBA
Title
President
Phone
(843) 552-2580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X SC Primary

Addresses

Primary practice location

6335 Dorchester Rd
Charleston, SC 29418-5103

Mailing address

6335 Dorchester Rd
Charleston, SC 29418-5103
Phone (843) 552-2580

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1669747291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6335 DORCHESTER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294185103",
            "telephone_number": "843-552-2580",
            "fax_number": "843-552-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 DORCHESTER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294185103",
            "telephone_number": "843-552-2580",
            "fax_number": "843-552-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT GENERAL DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "LAYTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-552-2580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.