Dental Wellness Center LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL WELLNESS CENTER LLC

Practice address

901 16TH Ave
Conway, SC 29526-3013

Phone

(843) 248-9033

NPI assigned

Aug 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Richard BondNPI 1215919626

Title

Dentist

Phone

(843) 248-9033

Specialties & licenses 1

Addresses

Other names 1

• Dental Wellness Center Other name

Practitioners 1

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

• Richard H Bond, DMD

  • General Practice Dentistry
  • Conway, SC
  • NPI 1215919626
  NPD Authorized official

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1760214241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 16TH AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263013",
            "telephone_number": "843-248-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 16TH AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263013",
            "telephone_number": "843-248-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-248-9033",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shayla Dearborn
• Victoria Labonte Decker, APRN
• Alayna Defalco, CEP
• Joseph E Dekine
• Tammie Deliberti
• Russell L Derrick, MD
• Elizabeth Anne Desantis, WHNP
• Michael Paul Desire
• Cara Detrie, DO
• Agnes Devenyi, MD

• Dental Clinic/Center in Conway, SC
• Providers in Conway, 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 Aug 22, 2024; 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.