Traci Lennon, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3037 Issued in SC

Practice address

512 N Pine St
Summerville, SC 29483-6555

Phone

(843) 873-1202

Fax

(843) 873-4962

NPI assigned

Nov 14, 2013

Sex

Female

Sole proprietor

Yes

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 SC

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Traci C. Lennon

  • General Practice Dentistry
  • Summerville, SC
  • NPI 1881741502
  NPD (past) Authorized official
• Griffin Dental, PA

  • Dental Clinic/Center
  • Summerville, SC
  • NPI 1619416799
  NPD (past)

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1811327794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 N PINE ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836555",
            "telephone_number": "843-873-1202",
            "fax_number": "843-873-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N PINE ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836555",
            "telephone_number": "843-873-1202",
            "fax_number": "843-873-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNON",
        "first_name": "TRACI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara A Lemay
• Nancy Rose Lembo, D.O.
• Regina Lemmon, MSP, CCC-SLP, ABD
• Lemmon'S Speech & Language Services, LLC
• Steven John Lenes, M.D.
• Lets Figure It Out Counseling
• Walter David Leventhal, MD
• Lauren Lewis, FNP-C
• Patrick Chance Lewis, OTD, OTR L
• Ronald Lewis, MD

• Dentist in Summerville, SC
• Providers in Summerville, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.