A. Keith Lethco D.M.D.,P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

2737 Issued in SC

Legal business name

A. KEITH LETHCO D.M.D.,P.A.

Practice address

1815 Montague Avenue Ext
Suite 4
Greenwood, SC 29649-7501

Phone

(864) 223-2433

Fax

(864) 223-3896

NPI assigned

Feb 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Keith Lethco, D.M.D.NPI 1205918174

Title

President

Phone

(864) 223-2433

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Andrew Keith Lethco, DMD

  • Dentist
  • Greenwood, SC
  • NPI 1205918174
  NPD (past) Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730220146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 MONTAGUE AVENUE EXT",
            "address_2": "SUITE 4",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296497501",
            "telephone_number": "864-223-2433",
            "fax_number": "864-223-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 MONTAGUE AVENUE EXT",
            "address_2": "SUITE 4",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296497501",
            "telephone_number": "864-223-2433",
            "fax_number": "864-223-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. KEITH LETHCO D.M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LETHCO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-223-2433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "2737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Dentist 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.