Organization Active NPI

Island Gentle Dental, Inc.

  • General Practice Dentistry
  • Charleston, SC
National Provider Identifier
1700011467
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2008 Issued in SC
Legal business name
ISLAND GENTLE DENTAL, INC.
Practice address
1136 Folly Rd
Charleston, SC 29412-4104
Phone
(843) 225-7171
NPI assigned
May 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Ms. Rhonda Locke
Title
Office Manager
Phone
(843) 225-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2008 SC Primary

Addresses

Primary practice location

1136 Folly Rd
Charleston, SC 29412-4104

Mailing address

1136 Folly Rd
Charleston, SC 29412-4104
Phone (843) 225-7171

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1700011467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124104",
            "telephone_number": "843-225-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124104",
            "telephone_number": "843-225-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND GENTLE DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-225-7171",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2008",
            "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 May 26, 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.