VDP Okatie LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VDP OKATIE LLC

Practice address

10 William Pope Drive, Suite #2
Okatie, SC 29909

Phone

(843) 705-7066

NPI assigned

Sep 4, 2020

Last updated

Sep 4, 2020By 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

Bradley Daniel Hughes, DMD

Title

Dentist/Owner of Practice

Phone

(260) 312-5794

Specialties & licenses 1

Addresses

Other names 1

• Hughes Dental Group Other name

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.

• Daniel P Hughes, DDS

  • General Practice Dentistry
  • Okatie, SC
  • NPI 1952434474
  NPD (past)

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1952915027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 AMSTATE RD",
            "city": "LEO",
            "state": "IN",
            "postal_code": "46765",
            "telephone_number": "260-312-5794",
            "fax_number": "260-627-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WILLIAM POPE DRIVE, SUITE #2",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "29909",
            "telephone_number": "843-705-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VDP OKATIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DENTIST/OWNER OF PRACTICE",
        "authorized_official_telephone_number": "260-312-5794",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hughes Dental Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bobbi J Tenwolde, MD
• Annette Nimmer Thomas, MD
• Ashley Tinney
• Jessica Nicole Trani, PTA
• John Wesley Vargo, DDS
• Walgreen Co (Walgreens # 09134)
• Mariah Waller
• Allison Raphael Walmer, APRN
• Zachary Weaver
• Meagan B Webb, RN

• General Practice Dentistry in Okatie, SC
• Providers in Okatie, 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 Sep 4, 2020; 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.