Organization Active NPI

Pierce Family Dentistry

  • Dentist
  • Mt Pleasant, SC
National Provider Identifier
1760864342
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3824 Issued in SC
Legal business name
PIERCE FAMILY DENTISTRY
Practice address
1041 Johnnie Dodds Blvd Ste 4a
Mt Pleasant, SC 29464-6156
Phone
(843) 849-7609
Fax
(843) 849-7612
NPI assigned
Jun 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Daphne R Pierce, DMDNPI 1619253135
Title
Owner
Phone
(843) 849-7609

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 3824 SC Primary

Addresses

Primary practice location

1041 Johnnie Dodds Blvd Ste 4a
Mt Pleasant, SC 29464-6156

Mailing address

1041 Johnnie Dodds Blvd Ste 4a
Mt Pleasant, SC 29464-6156
Phone (843) 849-7609

National Provider Directory

National Provider Directory

Locations

1041 Johnnie Dodds Blvd
Ste 4A
Mt Pleasant, SC 29464
Phone (843) 849-7609

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": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1760864342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 JOHNNIE DODDS BLVD STE 4A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294646156",
            "telephone_number": "843-849-7609",
            "fax_number": "843-849-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 JOHNNIE DODDS BLVD STE 4A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294646156",
            "telephone_number": "843-849-7609",
            "fax_number": "843-849-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-849-7609",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "3824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.