Organization Active NPI

Family and Restorative Dental Associates

  • Dental Clinic/Center
  • Sullivans Island, SC
National Provider Identifier
1710175914
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3579 Issued in SC
Legal business name
FAMILY AND RESTORATIVE DENTAL ASSOCIATES
Practice address
2213 Middle St
Sullivans Island, SC 29482-8780
Phone
(843) 883-9529
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Dr. James Thomas Kandl, D.D.S.NPI 1649335308
Title
President
Phone
(843) 883-9529

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
Dental Clinic/Center 261QD0000X 3579 SC Primary

Addresses

Primary practice location

2213 Middle St
Sullivans Island, SC 29482-8780

Mailing address

2213 Middle St
Sullivans Island, SC 29482-8780
Phone (843) 883-9529

National Provider Directory

National Provider Directory

Locations

2213 Middle St
Sullivans Island, SC 29482
Phone (843) 883-9529

Practitioners & affiliated clinicians

Practitioners 1

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": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1710175914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 MIDDLE ST",
            "city": "SULLIVANS ISLAND",
            "state": "SC",
            "postal_code": "294828780",
            "telephone_number": "843-883-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 MIDDLE ST",
            "city": "SULLIVANS ISLAND",
            "state": "SC",
            "postal_code": "294828780",
            "telephone_number": "843-883-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND RESTORATIVE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "KANDL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-883-9529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "3579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sullivans Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.