Wellspring Family Dental, PA
Organization Active NPI Dental Clinic/Center · Spartanburg, SC
NPI 1700375987 · NPPES record last updated May 3, 2018
Key facts
- NPI
- 1700375987
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- WELLSPRING FAMILY DENTAL, PA
- Practice address
- 8737 Asheville Hwy
Spartanburg, SC 29316-4609 - Phone
- (864) 578-5812
- NPI assigned
- May 3, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. David E. Butts, DMD
- Title
- President
- Phone
- (864) 578-5812
Practitioners 2
-
David Edward Butts, DMD
-
Elzie Lee Tate III, D.M.D.
National Provider Directory
Locations
8737 Asheville Hwy
Spartanburg, SC 29316
Phone (864) 578-5812
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
8737 Asheville Hwy
Spartanburg, SC 29316-4609
Mailing address
8737 Asheville Hwy
Spartanburg, SC 29316-4609
Phone (864) 578-5812
NPI Registry JSON
{
"created_epoch": "1525305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525305600000",
"number": "1700375987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8737 ASHEVILLE HWY",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293164609",
"telephone_number": "864-578-5812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8737 ASHEVILLE HWY",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293164609",
"telephone_number": "864-578-5812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPRING FAMILY DENTAL, PA",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-03",
"last_updated": "2018-05-03",
"status": "A",
"authorized_official_last_name": "BUTTS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-578-5812",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
- Wellness Family Medicine
- Kelly Wells
- Kenneth Wayne Wells
- Kevin W Wells
- Sherian Wells
- Jennifer Welsh
- Christopher Bryan Werner
- Thomas Jacob Wessel Jr.
- Bonnie Brown West
- Holli Peeler West
All providers in Spartanburg, SC · Dental Clinic/Center in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.