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 NPI 1427431907
Title
President
Phone
(864) 578-5812

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

8737 Asheville Hwy
Spartanburg, SC 29316
Phone (864) 578-5812

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 3, 2018.

{
    "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

All providers in Spartanburg, SC · Dental Clinic/Center in South Carolina

Sources for this page

Verify at the official NPI Registry.