Active NPI
Gentle Dentistry of Lexington, LLC
- General Practice Dentistry
- Lexington, SC
National Provider Identifier
1821589367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- GENTLE DENTISTRY OF LEXINGTON, LLC
- Practice address
- 109 Timbermill Dr
Lexington, SC 29073-7138 - Phone
- (803) 957-2297
- Fax
- (803) 957-4178
- NPI assigned
- May 21, 2018
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Mary A Dewitt, CDA
- Title
- Admin Asst
- Phone
- (803) 957-2297
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
109 Timbermill Dr
Lexington, SC 29073-7138
Mailing address
109 Timbermill Dr
Lexington, SC 29073-7138
Phone (803) 957-2297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2018.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526860800000",
"number": "1821589367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 TIMBERMILL DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290737138",
"telephone_number": "803-957-2297",
"fax_number": "803-957-4178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 TIMBERMILL DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290737138",
"telephone_number": "803-957-2297",
"fax_number": "803-957-4178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENTLE DENTISTRY OF LEXINGTON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-21",
"last_updated": "2018-05-21",
"status": "A",
"authorized_official_last_name": "DEWITT",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMIN ASST",
"authorized_official_telephone_number": "803-957-2297",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CDA"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.