Active NPI
Jessica Mattison Gower, D.M.D.
- Dentist
- Bluffton, SC
National Provider Identifier
1922386747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7123
- Practice address
- 347 Red Cedar Street
Building 400
Bluffton, SC 29910 - Phone
- (843) 815-6500
- Fax
- (843) 815-6501
- NPI assigned
- Jul 27, 2011
- Last updated
- Nov 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NC9184 | NC | |
| Dentist | 122300000X | 7123 | SC | Primary |
Addresses
Primary practice location
347 Red Cedar Street
Building 400
Bluffton, SC 29910
Mailing address
347 Red Cedar Street
Building 400
Bluffton, SC 29910
Phone (843) 815-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC9184 | NC | MD | Dentist |
| 7123 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Dental Arts, PA | Dentist | Past | Accepting new patients |
| Palmetto Dental Arts, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Bluffton, SC
- NPI 1114665619
-
- Dentist
- Bluffton, SC
- NPI 1316036676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1922386747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 RED CEDAR STREET",
"address_2": "BUILDING 400",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "29910",
"telephone_number": "843-815-6500",
"fax_number": "843-815-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 RED CEDAR STREET",
"address_2": "BUILDING 400",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "29910",
"telephone_number": "843-815-6500",
"fax_number": "843-815-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOWER",
"first_name": "JESSICA",
"middle_name": "MATTISON",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-27",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "NC9184",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "7123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.