NPIMap

Organization Active NPI

Seneca Family Dentistry, LLC

Doing business as Park Place Dentistry

  • General Practice Dentistry
  • Seneca, SC
National Provider Identifier
1932519436
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4360 Issued in SC
Legal business name
SENECA FAMILY DENTISTRY, LLC
Doing business as
Park Place Dentistry
Practice address
203B Central Park LN
Seneca, SC 29678-1156
Phone
(864) 482-2400
Fax
(864) 482-2404
NPI assigned
May 6, 2014
Last updated
May 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Matthew Word
Title
Owner
Phone
(864) 482-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4360 SC Primary

Addresses

Primary practice location

203B Central Park LN
Seneca, SC 29678-1156

Mailing address

203B Central Park LN
Seneca, SC 29678-1156
Phone (864) 482-2400

Other names 1

  • Park Place Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

203B Central Park Ln
Seneca, SC 29678
Phone (864) 482-2400

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1932519436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203B CENTRAL PARK LN",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781156",
            "telephone_number": "864-482-2400",
            "fax_number": "864-482-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203B CENTRAL PARK LN",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781156",
            "telephone_number": "864-482-2400",
            "fax_number": "864-482-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "WORD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-482-2400"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Place Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.