Individual provider Active NPI

Suzanne Dobbs Hardwicke, DMD

  • General Practice Dentistry
  • Charleston, SC
National Provider Identifier
1689726192
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3002178 Issued in SC
Practice address
3 Gamecock Ave
St 302
Charleston, SC 29407-3378
Phone
(843) 556-4798
Fax
(843) 556-4798
NPI assigned
Jan 17, 2007
Last updated
Mar 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3002178 SC Primary

Addresses

Primary practice location

3 Gamecock Ave
St 302
Charleston, SC 29407-3378

Mailing address

3 Gamecock Ave
Charleston, SC 29407-3378
Phone (843) 556-4798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3002178SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mouth Carolina Dentistry, PA General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1689726192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GAMECOCK AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073378",
            "telephone_number": "843-556-4798",
            "fax_number": "843-556-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GAMECOCK AVE",
            "address_2": "ST 302",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073378",
            "telephone_number": "843-556-4798",
            "fax_number": "843-556-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDWICKE",
        "first_name": "SUZANNE",
        "middle_name": "DOBBS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3002178",
            "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 26, 2008; 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.