Hugh B. Dickey III, D.D.S,PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

SC2258 Issued in SC

Practice address

1204 Ebenezer Rd
Rock Hill, SC 29732-2341

Phone

(803) 329-2126

Fax

(803) 329-0707

NPI assigned

Nov 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770654766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322341",
            "telephone_number": "803-329-2126",
            "fax_number": "803-329-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322341",
            "telephone_number": "803-329-2126",
            "fax_number": "803-329-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "HUGH",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S,PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC2258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Dettl-Rivera, EDD, SCAT, ATC
• Cheryl Denise Devereaux-Brown, RPH,MPH
• Kayla Dewey
• Shamly Venus Dhiman, M.D.
• DHM Wellness Group, LLC
• Lewis Garrett Dickinson, MD
• Paul Diegidio, MD
• Adrianne Galassie Dietz, LPC
• Digestive Disease Associates of York Coutny PA
• Gouri Dighade, RPH

• General Practice Dentistry in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.