Parkwood Dental Associates, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3847 Issued in SC

Legal business name

PARKWOOD DENTAL ASSOCIATES, PA

Practice address

1247A Savannah Hwy
Charleston, SC 29407-7826

Phone

(843) 571-6795

Fax

(843) 556-7309

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Todd Rutledge Sander, DMDNPI 1255542031

Title

President

Phone

(843) 571-6795

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Todd Rutledge Sander, DMD

  • Dentist
  • Charleston, SC
  • NPI 1255542031
  NPD (past) Authorized official
• Charles Raymond Pesavento, DMD

  • Dentist
  • Charleston, SC
  • NPI 1689875577
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679665830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247A SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077826",
            "telephone_number": "843-571-6795",
            "fax_number": "843-556-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247A SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077826",
            "telephone_number": "843-571-6795",
            "fax_number": "843-556-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWOOD DENTAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "RUTLEDGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-571-6795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Rose Parkman, FNP-C
• Amanda Leigh Parks, M.D.
• Debra J Parks, LPC
• Jaqueline Parks, PHARM. D
• Jennifer A Parks, LPC, LPCS
• Parkwood Orthopaedic Clinic L.L.C.
• Parkwood Pediatric Group PA
• Colleen Byers Parmelee, DPT
• Landon Scott Parmer, MD
• Anne Malcolm Parnell, PHARMD

• General Practice Dentistry in Charleston, SC
• Providers in Charleston, 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 22, 2020; 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.