NPIMap

Organization Active NPI

Crossland and Bodie Dental Associates LLC

  • General Practice Dentistry
  • Mount Pleasant, SC
National Provider Identifier
1891364428
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CROSSLAND AND BODIE DENTAL ASSOCIATES LLC
Practice address
929 Bowman Rd Ste 100
Mount Pleasant, SC 29464-3237
Phone
(843) 971-0661
Fax
(843) 971-5219
NPI assigned
Jun 18, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Marcia Moore Sosebee
Title
Insurance Coordinator
Phone
(843) 971-0661

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

929 Bowman Rd
Ste 100
Mount Pleasant, SC 29464
Phone (843) 971-0661

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

NPPES NPI Registry

Primary practice location

929 Bowman Rd Ste 100
Mount Pleasant, SC 29464-3237

Mailing address

929 Bowman Rd Ste 100
Mount Pleasant, SC 29464-3237
Phone (843) 971-0661

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2021.

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1891364428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 BOWMAN RD STE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643237",
            "telephone_number": "843-971-0661",
            "fax_number": "843-971-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 BOWMAN RD STE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643237",
            "telephone_number": "843-971-0661",
            "fax_number": "843-971-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSLAND AND BODIE DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "SOSEBEE",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "843-971-0661",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.