NPIMap

Organization Active NPI

Morrison Dental Associates PC

  • General Practice Dentistry
  • Bluffton, SC
National Provider Identifier
1689760571
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3626 Issued in SC
Legal business name
MORRISON DENTAL ASSOCIATES PC
Practice address
15 Buck Island Rd
Bluffton, SC 29910-5936
Phone
(843) 706-2146
Fax
(843) 706-2149
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Patriucia Fitzsimmons
Title
Office Manager
Phone
(843) 706-2146

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3626 SC Primary
Oral and Maxillofacial Pathology DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0106X 4005 SC

Addresses

Primary practice location

15 Buck Island Rd
Bluffton, SC 29910-5936

Mailing address

15 Buck Island Rd
Bluffton, SC 29910-5936
Phone (843) 706-2146

Other identifiers 1

IdentifierTypeStateIssuer
ZA9711MedicaidSC

National Provider Directory

National Provider Directory

Locations

15 Buck Island Rd
Bluffton, SC 29910
Phone (843) 706-2146

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1689760571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BUCK ISLAND RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105936",
            "telephone_number": "843-706-2146",
            "fax_number": "843-706-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BUCK ISLAND RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105936",
            "telephone_number": "843-706-2146",
            "fax_number": "843-706-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISON DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "FITZSIMMONS",
        "authorized_official_first_name": "PATRIUCIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-706-2146"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3626",
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "SC",
            "license": "4005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9711",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.