P. Spencer Witkin D.M.D. LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

P. SPENCER WITKIN D.M.D. LLC

Practice address

415 Robertson Blvd Ste a
Walterboro, SC 29488-5713

Phone

(843) 549-2121

Fax

(843) 549-7705

NPI assigned

Nov 20, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Philip Spencer Witkin, D.M.D.NPI 1962585604

Title

Dentist

Phone

(843) 549-2121

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Philip Spencer Witkin, DMD

  • General Practice Dentistry
  • Walterboro, SC
  • NPI 1962585604
  NPD (past) Authorized official
• Joshua Benjamin Massey, D.D.S.

  • Dentist
  • Walterboro, SC
  • NPI 1184824740
  NPD (past)

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1932506946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ROBERTSON BLVD STE A",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885713",
            "telephone_number": "843-549-2121",
            "fax_number": "843-549-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ROBERTSON BLVD STE A",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885713",
            "telephone_number": "843-549-2121",
            "fax_number": "843-549-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. SPENCER WITKIN D.M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "WITKIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-549-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.