Park West Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

SC3924 Issued in SC

Legal business name

PARK WEST DENTAL ASSOCIATES

Practice address

3377 S Morgans Point Rd
Suite 411
Mount Pleasant, SC 29466-8332

Phone

(843) 216-0908

Fax

(843) 216-0324

NPI assigned

Mar 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald Kevin Hogan, DDS

Title

President

Phone

(843) 216-0908

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699805648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3377 S MORGANS POINT RD",
            "address_2": "SUITE 411",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668332",
            "telephone_number": "843-216-0908",
            "fax_number": "843-216-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 S MORGANS POINT RD",
            "address_2": "SUITE 411",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668332",
            "telephone_number": "843-216-0908",
            "fax_number": "843-216-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK WEST DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "DONALD KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-216-0908",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC3924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetrios A Papadopoulos, MD
• Paper Crane Wellness, LLC
• Michele Lynn Pappas
• Sophie Ann Mills Paquette, LISW-CP
• Luke Parham
• Park West Dentistry (Expertise Dental by Dr. Amanda Seay)
• Sonny Yong Park, MD
• Katie Lynn Parker, ATC
• Sarah Parker
• Kevin L Parnell, RPH

• General Practice Dentistry in Mount Pleasant, SC
• Providers in Mount Pleasant, 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.