Active NPI
Spartanburg Endodontic Associates PA
- Dentist
- Spartanburg, SC
National Provider Identifier
1902167307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1845
- Legal business name
- SPARTANBURG ENDODONTIC ASSOCIATES PA
- Practice address
- 154 Country Club Rd
Spartanburg, SC 29302-3364 - Phone
- (864) 582-0332
- Fax
- (864) 582-2263
- NPI assigned
- Jun 1, 2012
- 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. William Miller Edwards, DMD
- Title
- President-Spartanburg Endodontic As
- Phone
- (864) 582-0332
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1845 | SC | Primary |
Addresses
Primary practice location
154 Country Club Rd
Spartanburg, SC 29302-3364
Mailing address
154 Country Club Rd
Spartanburg, SC 29302-3364
Phone (864) 582-0332
National Provider Directory
National Provider DirectoryLocations
154 Country Club Rd
Spartanburg, SC 29302
Phone (864) 582-0332
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- Spartanburg, SC
- NPI 1033227772
-
- Endodontics
- Spartanburg, SC
- NPI 1427336239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338508800000",
"number": "1902167307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 COUNTRY CLUB RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293023364",
"telephone_number": "864-582-0332",
"fax_number": "864-582-2263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 COUNTRY CLUB RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293023364",
"telephone_number": "864-582-0332",
"fax_number": "864-582-2263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPARTANBURG ENDODONTIC ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-01",
"last_updated": "2012-06-01",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "MILLER",
"authorized_official_title_or_position": "PRESIDENT-SPARTANBURG ENDODONTIC AS",
"authorized_official_telephone_number": "864-582-0332",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "SC",
"license": "1845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
- Spartanburg Dental Associates
- Spartanburg Dermatology & Skin Surgery Clinic, PC
- Spartanburg Dialysis, LLC
- Spartanburg Ear Nose & Throat, Head & Neck Surgery PA
- Spartanburg Emergency Physicians, LLC
- Spartanburg Family Dentistry
- Spartanburg Health Care LLC
- Spartanburg Hospital for Restorative Care
- Spartanburg Hospital for Restorative Care
- Spartanburg Hospital for Restorative Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.