Active NPI
Rufus Lester Neville III, DMD
- General Practice Dentistry
- Mt Pleasant, SC
National Provider Identifier
1790979680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3276
- Practice address
- 1051 Johnnie Dodds Blvd
Suite a
Mt Pleasant, SC 29464-3100 - Phone
- (843) 388-9690
- NPI assigned
- Sep 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3276 | SC | Primary |
Addresses
Primary practice location
1051 Johnnie Dodds Blvd
Suite a
Mt Pleasant, SC 29464-3100
Mailing address
PO Box 2324
Mt Pleasant, SC 29465-2324
Phone (843) 323-1959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3276 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1790979680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2324",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294652324",
"telephone_number": "843-323-1959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 JOHNNIE DODDS BLVD",
"address_2": "SUITE A",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643100",
"telephone_number": "843-388-9690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVILLE",
"first_name": "RUFUS",
"middle_name": "LESTER",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-04",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3276",
"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 Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.