NPIMap

Organization Active NPI

Palmetto Family & Cosmetic Dentistry

  • Dental Clinic/Center
  • Sumter, SC
National Provider Identifier
1710623525
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PALMETTO FAMILY & COSMETIC DENTISTRY
Practice address
656 Bultman Dr
Sumter, SC 29150-2550
Phone
(803) 778-2337
NPI assigned
May 5, 2022
Organization subpart
Yes
Parent organization
PALMETTO FAMILY & COSMETIC DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
William Thomas Noonan, DMDNPI 1366592917
Title
DMD
Phone
(803) 877-6703

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 Primary

Addresses

Primary practice location

656 Bultman Dr
Sumter, SC 29150-2550

Mailing address

2590 Tahoe Dr
Sumter, SC 29150-1860
Phone (803) 877-6703

National Provider Directory

National Provider Directory
Tax ID family
Palmetto Family Cosmetic Dentistry4 organizations share this tax ID, including this one
Part of
Palmetto Family Cosmetic Dentistry

Other organizations with this tax ID 3

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

Locations

656 Bultman Dr
Sumter, SC 29150
Phone (803) 778-2337

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1710623525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 TAHOE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501860",
            "telephone_number": "803-877-6703",
            "fax_number": "803-469-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 BULTMAN DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502550",
            "telephone_number": "803-778-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO FAMILY & COSMETIC DENTISTRY",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "NOONAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "803-877-6703",
        "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 Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.