Organization Active NPI

Heritage Dental Spa and Salon

  • Dental Clinic/Center
  • Bluffton, SC
National Provider Identifier
1710365366
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3654 Issued in SC
Legal business name
HERITAGE DENTAL SPA AND SALON
Practice address
32 Malphrus Rd
Ste 115
Bluffton, SC 29910-6640
Phone
(843) 837-4444
NPI assigned
May 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Dr. George K Camp, DDS
Title
Owner
Phone
(843) 837-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3654 SC Primary

Addresses

Primary practice location

32 Malphrus Rd
Ste 115
Bluffton, SC 29910-6640

Mailing address

32 Malphrus Rd
Ste 115
Bluffton, SC 29910-6640
Phone (843) 837-4444

National Provider Directory

National Provider Directory

Locations

32 Malphrus Rd
Ste 115
Bluffton, SC 29910
Phone (843) 837-4444

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1710365366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MALPHRUS RD",
            "address_2": "STE 115",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106640",
            "telephone_number": "843-837-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MALPHRUS RD",
            "address_2": "STE 115",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106640",
            "telephone_number": "843-837-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE DENTAL SPA AND SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-837-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "3654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.