Dr. Gary a. Waugh D.M.D., P.a.

Key facts

NPI

1801997283

Entity type

Organization (NPI type 2)

Primary specialty

Dental Clinic/Center 261QD0000X

License

2065 (SC)

Legal business name

DR. GARY A. WAUGH D.M.D., P.A.

Practice address

503 W Martintown Rd
North Augusta, SC 29841-3108

Phone

(803) 278-2223

Fax

(803) 278-2636

NPI assigned

Sep 26, 2006

Organization subpart

No

Authorized official

Name

Dr. Gary Andrew Waugh, D.M.D.

Title

Owner

Phone

(803) 278-2223

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alice Drannon Hale, DMD Dentist · Aiken, SC · NPI 1205032315
  NPD (past)
• Michael Cory Hall, DMD Dentist · North Augusta, SC · NPI 1760916092
  NPD (past)

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2008.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1801997283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W MARTINTOWN RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413108",
            "telephone_number": "803-278-2223",
            "fax_number": "803-278-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W MARTINTOWN RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413108",
            "telephone_number": "803-278-2223",
            "fax_number": "803-278-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARY A. WAUGH D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-278-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "2065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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