Carolina Elite Dental Services II LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CAROLINA ELITE DENTAL SERVICES II LLC

Practice address

101 Perpetual SQ
Anderson, SC 29621-1713

Phone

(704) 609-8939

NPI assigned

Jul 6, 2022

Organization subpart

No

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

Authorized official

Name

Richard E. Offutt Jr., D.D.S., M.S.

Title

President

Phone

(704) 609-8939

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1760115851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PERPETUAL SQ",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211713",
            "telephone_number": "704-609-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PERPETUAL SQ",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211713",
            "telephone_number": "704-609-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ELITE DENTAL SERVICES II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "OFFUTT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-609-8939",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hands Home Care
• Caring Hands OT LLC
• Caris Healthcare LLC
• Lauren Ring Carlson, PT, DPT
• Carolina Diabetes and Endocrinology
• Carolina Emergency Medical Services
• Carolina Eye Care and Associates, PA
• Carolina Imaging Center LLC
• Carolina Medical Supply, LLC
• Carolina Neurology & Neuroimaging LLC

• Dental Clinic/Center in Anderson, SC
• Providers in Anderson, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.