Daughtry Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1315 Issued in SC

Legal business name

DAUGHTRY ORTHODONTICS

Practice address

517 W Palmetto St
Florence, SC 29501-4427

Phone

(843) 665-2500

Fax

(843) 665-8253

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Kristy Bartlett

Title

Office Manager

Phone

(803) 736-1330

Specialties & licenses 1

Addresses

Tax ID family

Daughtry Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Orthodontic Center

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Columbia, SC
  • NPI 1740408368
  NPD tax ID

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710106919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014427",
            "telephone_number": "843-665-2500",
            "fax_number": "843-665-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014427",
            "telephone_number": "843-665-2500",
            "fax_number": "843-665-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAUGHTRY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-736-1330"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "1315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prezillic Daniels, MA, LPC/I
• Valerie Janet Daniels, DO
• India A Dargan
• Noah Dargy, MD
• Satya Datla, M.D.
• Kristina Eaton Daves, OT
• David a. Reince, PH.D., LLC
• James Michael Davidson, MD
• Tabitha Elizabeth Davis Stellato
• Carmen Cromartie Davis, OTR/L

• Orthodontics and Dentofacial Orthopedics Dentistry in Florence, SC
• Providers in Florence, SC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.