East End Dental Clinic, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

SC1143 Issued in SC

Legal business name

EAST END DENTAL CLINIC, PC

Practice address

104 W Oak Hwy
Westminster, SC 29693-2226

Phone

(864) 647-9000

Fax

(864) 647-7873

NPI assigned

Jan 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie Smith

Title

Office Manager

Phone

(864) 647-9000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821140617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W OAK HWY",
            "city": "WESTMINSTER",
            "state": "SC",
            "postal_code": "296932226",
            "telephone_number": "864-647-9000",
            "fax_number": "864-647-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W OAK HWY",
            "city": "WESTMINSTER",
            "state": "SC",
            "postal_code": "296932226",
            "telephone_number": "864-647-9000",
            "fax_number": "864-647-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END DENTAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-647-9000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC1143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Westminster, SC
• Providers in Westminster, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.