Dental Associates of South Carolina, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3286 Issued in SC

Legal business name

DENTAL ASSOCIATES OF SOUTH CAROLINA, INC

Practice address

104 Buford Ave
Anderson, SC 29621-3314

Phone

(864) 224-1925

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kendon A Ross, D.D.S.

Title

Corporate Officer

Phone

(864) 224-1925

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Malia Fredrickson, D.D.S.

  • General Practice Dentistry
  • Seneca, SC
  • NPI 1275578791
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912017997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BUFORD AVE",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213314",
            "telephone_number": "864-224-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BUFORD AVE",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213314",
            "telephone_number": "864-224-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF SOUTH CAROLINA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "KENDON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "864-224-1925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3286",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3260",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9728",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Joanne Del Prado-Rico, MD
• Jeffrey S Delo, MD
• Reid Demass
• Dent Now Corparation
• Dental Associates of Anderson, P.C.
• Dental Professionals of SC, PC
• Dental Professionals of South Carolina, P.C.
• Depalma Drugs Inc
• Rebecca Depalma, RPH
• Department of Mental Health

• General Practice Dentistry in Anderson, SC
• Providers in Anderson, SC by specialty
• General Practice Dentistry 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.