West End Dental, PA

Primary specialty

DentistTaxonomy code 122300000X

License

4494 Issued in SC

Legal business name

WEST END DENTAL, PA

Practice address

655 S Main St
Greenville, SC 29601-2504

Phone

(864) 546-6500

Fax

(864) 312-6485

NPI assigned

Jun 13, 2012

Last updated

Jun 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Judson Suber, DMD

Title

Owner

Phone

(864) 546-6500

Specialties & licenses 1

Addresses

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.

• Reilly Kelley Redden, DMD

  • Dentist
  • Greenville, SC
  • NPI 1972347631
  NPD (past)

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1861754137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 S MAIN ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012504",
            "telephone_number": "864-546-6500",
            "fax_number": "864-312-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S MAIN ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012504",
            "telephone_number": "864-546-6500",
            "fax_number": "864-312-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST END DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "SUBER",
        "authorized_official_first_name": "JUDSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-546-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Werntz
• Ryan Patrick Werntz, M.D.
• Mark Louis Wess, M.D.
• Edith Chambless Wessel, M.D.
• West End Chiropractic of the Upstate, LLC
• West Gvlsc Wellness LLC (Medi-Weightloss)
• Caroline West, A-GNP
• Charles Shirley West Jr., MD
• Darren R West, MD
• Dawn West

• Dentist in Greenville, SC
• Providers in Greenville, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.