Palmetto Dental Studio Pelzer, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4203 Issued in SC

Legal business name

PALMETTO DENTAL STUDIO PELZER, LLC

Practice address

112 Highway 20 S
Pelzer, SC 29669-1509

Phone

(864) 947-9886

Fax

(864) 947-4323

NPI assigned

Aug 25, 2014

Last updated

Aug 25, 2014By 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

Andy R Butcher, DMD

Title

Owner

Phone

(864) 947-9886

Specialties & licenses 1

Addresses

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.

• Connor Brown Hopkins, D.M.D.

  • General Practice Dentistry
  • Pelzer, SC
  • NPI 1518081884
  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1932509221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "PELZER",
            "state": "SC",
            "postal_code": "296690456",
            "telephone_number": "864-947-9886",
            "fax_number": "864-947-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HIGHWAY 20 S",
            "city": "PELZER",
            "state": "SC",
            "postal_code": "296691509",
            "telephone_number": "864-947-9886",
            "fax_number": "864-947-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO DENTAL STUDIO PELZER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "BUTCHER",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-947-9886",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Faye Manley, RN
• Julie Saylors Martin
• Reynold Arthur McClain, RPH
• Tammy Olene Nichols, LISW CP
• Open Cart LLC
• Archana Patel, RPH
• Pelzer Rescue Squad
• Pelzer Urgent Care LLC
• Brittney Perkins, LMSW
• Ashton Sellers

• General Practice Dentistry in Pelzer, SC
• Providers in Pelzer, 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 25, 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.