Paul W Giddings, DMD – Public Health Dentistry

Key facts

NPI: 1770616633
Entity type: Individual (NPI type 1)
Primary specialty: Public Health Dentistry 1223D0001X
License: 2359 (SC)
Practice address: 108 Massingill Rd
Pickens, SC 29671
Phone: (864) 878-2428
Fax: (864) 878-3080
NPI assigned: Mar 13, 2007
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Great Oaks LLC General Practice Dentistry · Pickens, SC · NPI 1659397149

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2359	SC	MD	Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Great Oaks LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Public Health Dentistry	1223D0001X	2359	SC	Yes

Addresses

Primary practice location

108 Massingill Rd
Pickens, SC 29671

Mailing address

234 Greystone PL
Pickens, SC 29671-9135
Phone (864) 878-2428

Other identifiers

Identifier	Type	State	Issuer
ZA9767	Medicaid	SC

Other providers in Pickens, SC

All providers in Pickens, SC · Public Health Dentistry in South Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.