Active NPI
Gene Grace DDS, PA
- General Practice Dentistry
- Beaufort, SC
National Provider Identifier
1831359918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1736
- Legal business name
- GENE GRACE DDS, PA
- Practice address
- 970 Ribaut Rd Ste 1
Beaufort, SC 29902-5493 - Phone
- (843) 524-6410
- Fax
- (843) 524-1250
- NPI assigned
- Jun 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gene W Grace, DDS
- Title
- Owner
- Phone
- (843) 524-6410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1736 | SC | Primary |
Addresses
Primary practice location
970 Ribaut Rd Ste 1
Beaufort, SC 29902-5493
Mailing address
970 Ribaut Rd Ste 1
Beaufort, SC 29902-5493
Phone (843) 524-6410
Other names 1
- Aesthetic Dentistry
National Provider Directory
National Provider DirectoryLocations
970 Ribaut Rd
Ste 1
Beaufort, SC 29902
Phone (843) 524-6410
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Beaufort, SC
- NPI 1538185053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213228800000",
"number": "1831359918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 RIBAUT RD STE 1",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025493",
"telephone_number": "843-524-6410",
"fax_number": "843-524-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 RIBAUT RD STE 1",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025493",
"telephone_number": "843-524-6410",
"fax_number": "843-524-1250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENE GRACE DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-12",
"last_updated": "2008-06-12",
"status": "A",
"authorized_official_last_name": "GRACE",
"authorized_official_first_name": "GENE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-524-6410",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "1736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aesthetic Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.