Organization Active NPI

The New River Dental Center, PC

  • General Practice Dentistry
  • Hardeeville, SC
National Provider Identifier
1790827160
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4081 Issued in SC
Legal business name
THE NEW RIVER DENTAL CENTER, PC
Practice address
300 New River Pkwy
Suite 1
Hardeeville, SC 29927-4450
Phone
(843) 208-2888
Fax
(888) 239-7509
NPI assigned
Feb 13, 2007
Last updated
Jul 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Dr. Andrea Grant Guess, DDSNPI 1982648119
Title
Owner
Phone
(843) 208-2888

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
General Practice Dentistry 1223G0001X 4081 SC Primary

Addresses

Primary practice location

300 New River Pkwy
Suite 1
Hardeeville, SC 29927-4450

Mailing address

300 New River Pkwy
Suite 1
Hardeeville, SC 29927-4450
Phone (843) 208-2888

Other identifiers 1

IdentifierTypeStateIssuer
ZX4081MedicaidSC

National Provider Directory

National Provider Directory

Locations

300 New River Pkwy
Ste 1
Hardeeville, SC 29927
Phone (843) 208-2888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1790827160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PKWY",
            "address_2": "SUITE 1",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274450",
            "telephone_number": "843-208-2888",
            "fax_number": "843-208-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PKWY",
            "address_2": "SUITE 1",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274450",
            "telephone_number": "843-208-2888",
            "fax_number": "888-239-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEW RIVER DENTAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "GRANT GUESS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-208-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX4081",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardeeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.