Active NPI
Palmetto Comprehensive Dentistry LLC
- General Practice Dentistry
- Lexington, SC
National Provider Identifier
1740351097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3788
- Legal business name
- PALMETTO COMPREHENSIVE DENTISTRY LLC
- Practice address
- 209 West Main Street
Lexington, SC 29072-2633 - Phone
- (803) 359-0566
- Fax
- (803) 359-5170
- NPI assigned
- Nov 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven James Hutchinson, DMD
- Title
- Dentist Owner
- Phone
- (803) 359-0566
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3788 | SC | Primary |
Addresses
Primary practice location
209 West Main Street
Lexington, SC 29072-2633
Mailing address
209 West Main Street
Lexington, SC 29072-2633
Phone (803) 359-0566
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZA9471 | Medicaid | SC | |
| ZX3788 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
209 W Main St
Lexington, SC 29072
Phone (803) 359-0566
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Lexington, SC
- NPI 1295853414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740351097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 WEST MAIN STREET",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290722633",
"telephone_number": "803-359-0566",
"fax_number": "803-359-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 WEST MAIN STREET",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290722633",
"telephone_number": "803-359-0566",
"fax_number": "803-359-5170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO COMPREHENSIVE DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HUTCHINSON",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "DENTIST OWNER",
"authorized_official_telephone_number": "803-359-0566",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZA9471",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZX3788",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- 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.