Blair Freeman Hendricks, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7015 Issued in SC

Practice address

298 Old Trolley Rd
Summerville, SC 29485-4929

Phone

(843) 871-9070

NPI assigned

Jul 8, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Dwight J. Beavers, D.D.S., P.a.

  • General Practice Dentistry
  • Summerville, SC
  • NPI 1568704369
  NPD (past)
• Southern Smiles

  • General Practice Dentistry
  • Summerville, SC
  • NPI 1316340839
  NPD (past)

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1699062810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 OLD TROLLEY RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854929",
            "telephone_number": "843-871-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 OLD TROLLEY RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854929",
            "telephone_number": "843-871-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "BLAIR",
        "middle_name": "FREEMAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "7015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer J. Heinemann, M.D.
• Janice Abigail Heintze, M.D.
• Margie Jennifer Helmly, FNP-C
• Danielle Helms, LPC
• Frampton Wyman Henderson III, M.D.
• Elena Hendricks, LISW-CP
• Charles L Hensley, DC
• Rebekah O Henson, PA-C
• Jeffrey R Herman, M.D.
• Angelia M Herndon

• General Practice Dentistry in Summerville, SC
• Providers in Summerville, 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 Jun 26, 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.