Ruth Holzman Phillips, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8714 Issued in SC

Practice address

947 Bypass Highway 123
Seneca, SC 29678-4758

Phone

(864) 482-2400

NPI assigned

Feb 19, 2007

Last updated

May 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Ruth Holzman Clemans Former name

Medicare fee-for-service enrollment

Enrolled in GA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seneca Family Dentistry, LLC

  dba Park Place Dentistry

  • General Practice Dentistry
  • Seneca, SC
  • NPI 1932519436
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1831233295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HIGH WATER CT",
            "city": "SALEM",
            "state": "SC",
            "postal_code": "296764110",
            "telephone_number": "864-719-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 BYPASS HIGHWAY 123",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296784758",
            "telephone_number": "864-482-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "RUTH",
        "middle_name": "HOLZMAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "010453",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "CLEMANS",
            "middle_name": "HOLZMAN",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Perry, PHARMD
• Julie M Perry, FNP
• Kandasamy Chetty Perumal, M.D., F.A.C.S.
• Sarah Elizabeth Peterson, MD
• Kimberly E Pettit, PTA
• Elizabeth Louise Philmon, APRN
• Pickens Healthcare Management, LLC
• Michael Daniel Pickens, D.C.
• Anna Piekunko
• Nicholas Pikarsky, FNP-C

• General Practice Dentistry in Seneca, SC
• Providers in Seneca, 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 May 20, 2021; 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.