Organization Active NPI

Boiling Springs Dentistry, LLC

  • General Practice Dentistry
  • Boiling Springs, SC
National Provider Identifier
1750584975
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BOILING SPRINGS DENTISTRY, LLC
Practice address
107 Parris Bridge Rd
Boiling Springs, SC 29316-1924
Phone
(864) 578-0043
Fax
(864) 578-0044
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Grantham Fletcher, D.M.D.NPI 1538284666
Title
Dentist
Phone
(864) 578-0043

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

107 Parris Bridge Rd
Boiling Springs, SC 29316-1924

Mailing address

PO Box 161329
Boiling Springs, SC 29316-0023
Phone (864) 578-0043

National Provider Directory

National Provider Directory

Locations

107 Parris Bridge Rd
Boiling Springs, SC 29316
Phone (864) 274-3006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750584975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161329",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293160023",
            "telephone_number": "864-578-0043",
            "fax_number": "864-578-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PARRIS BRIDGE RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293161924",
            "telephone_number": "864-578-0043",
            "fax_number": "864-578-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOILING SPRINGS DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "GRANTHAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "864-578-0043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, 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.

Verify at the official NPI Registry.