Orangeburg Family Dentistry,LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1836 Issued in SC

Legal business name

ORANGEBURG FAMILY DENTISTRY,LLC

Practice address

695 Laurel St
Orangeburg, SC 29115-4834

Phone

(803) 536-6440

Fax

(803) 268-9921

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jane D. Hartzog

Title

Office Manager

Phone

(803) 536-6440

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Thomas B Gue Jr., DMD

  • General Practice Dentistry
  • Orangeburg, SC
  • NPI 1275694697
  NPD (past)
• Robert A. Varn, DMD

  • General Practice Dentistry
  • Orangeburg, SC
  • NPI 1053472563
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1831250273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 LAUREL ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154834",
            "telephone_number": "803-536-6440",
            "fax_number": "803-268-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 LAUREL ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154834",
            "telephone_number": "803-536-6440",
            "fax_number": "803-268-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGEBURG FAMILY DENTISTRY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "HARTZOG",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-536-6440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9827",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orangeburg Consoladated School District 5
• Orangeburg Consolidated School District 5
• Orangeburg County Council on Aging
• Orangeburg County School District
• Orangeburg Eye Center
• Orangeburg Family Eye Care, LLC
• Orangeburg Family Eye Care, LLC
• Orangeburg Family Physicians, PA
• Orangeburg Five
• Orangeburg Lung Associates PA

• General Practice Dentistry in Orangeburg, SC
• Providers in Orangeburg, 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 Dec 26, 2007; 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.