NPIMap

Organization Active NPI

St. George Dental Care

  • General Practice Dentistry
  • Saint George, SC
National Provider Identifier
1790953602
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3524 Issued in SC
Legal business name
ST. GEORGE DENTAL CARE
Practice address
102 Bryant St
Saint George, SC 29477-2160
Phone
(843) 563-3208
Fax
(843) 563-7800
NPI assigned
Feb 13, 2008
Last updated
Feb 13, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
WILLIAM SCOTT GARRIS. D.M.D.,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. William Scott Garris, D.M.DNPI 1205810470
Title
Owner
Phone
(843) 563-3208

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3524 SC Primary

Addresses

Primary practice location

102 Bryant St
Saint George, SC 29477-2160

Mailing address

102 Bryant St
Saint George, SC 29477-2160
Phone (843) 563-3208

National Provider Directory

National Provider Directory
Tax ID family
St George Dental Care2 organizations share this tax ID, including this one
Part of
St George Dental Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

102 Bryant St
Saint George, SC 29477
Phone (843) 563-3208

Practitioners & affiliated clinicians

Practitioners 7

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": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1790953602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BRYANT ST",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772160",
            "telephone_number": "843-563-3208",
            "fax_number": "843-563-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BRYANT ST",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772160",
            "telephone_number": "843-563-3208",
            "fax_number": "843-563-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GEORGE DENTAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAM SCOTT GARRIS. D.M.D.,LLC",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "GARRIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-563-3208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.