Organization Active NPI

Gene Grace DDS, PA

  • General Practice Dentistry
  • Beaufort, SC
National Provider Identifier
1831359918
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1736 Issued in SC
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

Updated by the provider on Jun 12, 2008

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.