Prime Dental, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

1863 Issued in SC

Legal business name

PRIME DENTAL, P.C.

Practice address

28 S Main St
Travelers Rest, SC 29690-1810

Phone

(864) 834-8001

Fax

(864) 834-5563

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Asa Duncan Shirley III, DMDNPI 1891918512

Title

Owner

Phone

(864) 864-8001

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Asa Duncan Shirley III, DMD

  • Dentist
  • Travelers Rest, SC
  • NPI 1891918512
  NPD (past) Authorized official
• Brian Christopher Price, DMD

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1295056232
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891856209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S MAIN ST",
            "address_2": "P. O. BOX 987",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901810",
            "telephone_number": "864-834-8001",
            "fax_number": "864-834-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S MAIN ST",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901810",
            "telephone_number": "864-834-8001",
            "fax_number": "864-834-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "ASA",
        "authorized_official_middle_name": "DUNCAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-864-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "1863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9532",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fred Donald Pollard, DMD
• Caroline Leigh Porter
• William Madison Powell, DMD
• Preserve Health, PA
• Kara Price, FNP
• Prisma Health-Upstate (Prisma Health Primary Care North Greenville)
• Prisma Health-Upstate (Prisma Health North Greenville LTACH)
• Prisma Health-Upstate (Prisma Health Primary Care North Greenville)
• Prisma Health-Upstate Dba PH North Greenville ER
• Caitlin Styles Reames, RPH

• Dentist in Travelers Rest, SC
• Providers in Travelers Rest, SC by specialty
• Dentist in South Carolina

• 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.

Verify at the official NPI Registry.