Elizabeth Marie Jantz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DGD.10553 Issued in SC

Practice address

145 River Landing Dr Unit 102
Daniel Island, SC 29492-8612

Phone

(843) 242-0645

NPI assigned

Aug 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1740063288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 JOHNNIE DODDS BLVD UNIT 1088",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294652853",
            "telephone_number": "405-823-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 RIVER LANDING DR UNIT 102",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928612",
            "telephone_number": "843-242-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANTZ",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.10553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Gardner Inman, MD
• Island Eye Care
• Island Park Dermatology LLC
• J. Suzanne Cherry, PT
• Kimberly Shelley Jackson, M.D.
• Alex Johnson, PTA
• Dana Wright Johnson, RPH
• Margaret Johnson, MSP, CCC-SLP
• Amelia Justice, PT, DPT
• Kayla Noelle Knolmayer, PA

• General Practice Dentistry in Daniel Island, SC
• Providers in Daniel Island, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.