Organization Active NPI

Lauren F. Callison, DMD, LLC

  • General Practice Dentistry
  • Walterboro, SC
National Provider Identifier
1700445889
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAUREN F. CALLISON, DMD, LLC
Practice address
1133 N Jefferies Blvd
Walterboro, SC 29488-2729
Phone
(843) 549-5584
NPI assigned
Jun 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Dr. Lauren Forster Callison, DMDNPI 1548501018
Title
Owner/Dentist
Phone
(843) 532-7329

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

Specialties & licenses 1

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

Addresses

Primary practice location

1133 N Jefferies Blvd
Walterboro, SC 29488-2729

Mailing address

402 Lakeview Dr
Summerville, SC 29485-8328
Phone (843) 532-7329

Other names 1

  • Walterboro Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1133 N Jefferies Blvd
Walterboro, SC 29488
Phone (843) 549-5584

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1700445889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LAKEVIEW DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858328",
            "telephone_number": "843-532-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N JEFFERIES BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882729",
            "telephone_number": "843-549-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN F. CALLISON, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "CALLISON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "FORSTER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "843-532-7329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walterboro Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.