Jewel Sparkle Ann Pompey, DMD
Individual provider Active NPI General Practice Dentistry · Ridge Spring, SC
NPI 1861622243 · NPPES record last updated Jul 21, 2009
Key facts
- NPI
- 1861622243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4647 (SC)
- Practice address
- 634 E Main St
Ridge Spring, SC 29129-9139 - Phone
- (803) 685-5555
- NPI assigned
- Jul 21, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4647 | SC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr D G Taylor PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4647 | SC | Yes |
Addresses
Primary practice location
634 E Main St
Ridge Spring, SC 29129-9139
Mailing address
PO Box 277
Ridge Spring, SC 29129-0277
Phone (803) 685-5555
Other providers in Ridge Spring, SC
- Shemariah Farmer
- Derrick Jay
- Melanie Dawn Johnson-Bailey
- James Franklin Johnson III
- Sandra Padgett
- Hannah Summer
- Dorothea Gertrude Taylor
- Marion E Webb Jr.
- Tekeilla Renada Wigfall
All providers in Ridge Spring, SC · General Practice Dentistry in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.