York Dental Group, PA

Primary specialty

DentistTaxonomy code 122300000X

License

4294 Issued in SC

Legal business name

YORK DENTAL GROUP, PA

Practice address

333 E Liberty St
York, SC 29745-1575

Phone

(803) 684-2366

Fax

(803) 684-9101

NPI assigned

May 31, 2011

Last updated

May 31, 2011By 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. Robert Joseph Renner Jr., D.D.S.

Title

President

Phone

(803) 684-2366

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1932493640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 712",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297450712",
            "telephone_number": "803-684-2366",
            "fax_number": "803-684-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E LIBERTY ST",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297451575",
            "telephone_number": "803-684-2366",
            "fax_number": "803-684-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK DENTAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "RENNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-684-2366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "4294",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "2362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• York Chiropractic Inc.
• York County Adult Day Care Services, Inc. (Adult Enrichment Centers of York)
• York County Board of Disabilities & Special Needs
• York County Board of Disabilities and Special Needs
• York Dental Associates,LLC
• York Dental Team, LLC
• York Rescue Squad
• York School District One
• Yorktowne Village Assisted Living, LLC
• Christine Marie Zamastil, M.D.

• Dentist in York, SC
• Providers in York, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.