Danielle S. Ezell, DMD, PA

Primary specialty

DentistTaxonomy code 122300000X

License

4367 Issued in SC

Legal business name

DANIELLE S. EZELL, DMD, PA

Practice address

9 W Madison St
York, SC 29745-1143

Phone

(803) 684-6545

Fax

(803) 684-0239

NPI assigned

Jun 30, 2009

Last updated

Jun 30, 2009By 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

Dr. Danielle Suzette Ezell, DMD

Title

Dentist/Owner

Phone

(803) 684-6545

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1699903567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297450395",
            "telephone_number": "803-684-6545",
            "fax_number": "803-684-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W MADISON ST",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297451143",
            "telephone_number": "803-684-6545",
            "fax_number": "803-684-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE S. EZELL, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "EZELL",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "SUZETTE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "803-684-6545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX4367",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in York, SC
• Providers in York, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.