Liberty Dental Care, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3144 Issued in SC

Legal business name

LIBERTY DENTAL CARE, INC.

Practice address

207 W Front St
Liberty, SC 29657-1009

Phone

(864) 843-3742

Fax

(864) 843-3744

NPI assigned

May 8, 2008

Last updated

May 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James L Wilson, DMDNPI 1184680134

Title

General Dentist

Phone

(864) 843-3742

Specialties & licenses 1

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, and the practitioner matching its NPPES authorized official.

• James L Wilson, DMD

  • General Practice Dentistry
  • Liberty, SC
  • NPI 1184680134
  NPD (past) Authorized official

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1932376035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W FRONT ST",
            "city": "LIBERTY",
            "state": "SC",
            "postal_code": "296571009",
            "telephone_number": "864-843-3742",
            "fax_number": "864-843-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W FRONT ST",
            "city": "LIBERTY",
            "state": "SC",
            "postal_code": "296571009",
            "telephone_number": "864-843-3742",
            "fax_number": "864-843-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "864-843-3742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "3144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z31449",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ingles Markets Inc (Ingles Pharmacy #253)
• Josh C Ray DMD PA
• Kayla Wilkes RN, CLC
• Julie Marie Langston, SLP
• Jennifer Andrews Letourneau, RPH
• Liberty Family Care
• Karen Kidd Middleton, MCD, CCC-SLP
• Kathryn Juanita Morrow, NP
• Cathy Alvarez Murdaugh, PHARMD
• Mustang Medicine Works, LLC

• Dental Clinic/Center in Liberty, SC
• Providers in Liberty, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.