Active NPI
Keowee Family Dentistry
- General Practice Dentistry
- Seneca, SC
National Provider Identifier
1861417743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3729
- Legal business name
- KEOWEE FAMILY DENTISTRY
- Practice address
- 241 Stork Way
Seneca, SC 29678-1039 - Phone
- (864) 885-9585
- Fax
- (864) 885-0975
- NPI assigned
- Jul 13, 2006
- Last updated
- Aug 22, 2020
- 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. Michael H Davis, D.M.D
- Title
- President
- Phone
- (864) 885-9585
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3729 | SC | Primary |
Addresses
Primary practice location
241 Stork Way
Seneca, SC 29678-1039
Mailing address
241 Stork Way
Seneca, SC 29678-1039
Phone (864) 885-9585
National Provider Directory
National Provider DirectoryLocations
241 Stork Way
Seneca, SC 29678
Phone (864) 885-9585
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Dentist
- Seneca, SC
- NPI 1073723326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861417743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 STORK WAY",
"city": "SENECA",
"state": "SC",
"postal_code": "296781039",
"telephone_number": "864-885-9585",
"fax_number": "864-885-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 STORK WAY",
"city": "SENECA",
"state": "SC",
"postal_code": "296781039",
"telephone_number": "864-885-9585",
"fax_number": "864-885-0975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEOWEE FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-885-9585",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, SC
- Michelle McInnis Keller, DMD
- Kelly Means Business, Inc. (ComForCare Home Care - Anderson, SC)
- Kendon a Ross, DDS, Malia Fredrickson, DDS, PA
- Kenneth C. Dobson DMD Inc. (Keowee Smiles)
- Keowee Dialysis Center LLC
- Keowee Family Urology
- Keowee Primary Care & Internal Medicine PC
- Keowee Radiology P a
- Keowee Surgical Clinic P.a.
- Amanda Leigh Kerr, CPHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.