NPIMap

Organization Active NPI

Sumter Family Dental Center

  • Dentist
  • Sumter, SC
National Provider Identifier
1841373248
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1682 Issued in SC
Legal business name
SUMTER FAMILY DENTAL CENTER
Practice address
852 W Liberty St
Sumter, SC 29150-4729
Phone
(803) 773-3328
Fax
(803) 773-9601
NPI assigned
Oct 23, 2006
Last updated
Dec 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Eddie C Durant, D.D.S.
Title
President
Phone
(803) 773-3328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 1682 SC Primary

Addresses

Primary practice location

852 W Liberty St
Sumter, SC 29150-4729

Mailing address

852 W Liberty St
Sumter, SC 29150-4729
Phone (803) 773-3328

National Provider Directory

National Provider Directory

Locations

852 W Liberty St
Sumter, SC 29150
Phone (803) 773-3328

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1841373248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 W LIBERTY ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504729",
            "telephone_number": "803-773-3328",
            "fax_number": "803-773-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 W LIBERTY ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504729",
            "telephone_number": "803-773-3328",
            "fax_number": "803-773-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "DURANT",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-773-3328",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "1682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.