Boutwell Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BOUTWELL DENTAL, LLC

Doing business as

BWell Family Dentistry and Spa

Practice address

309 Highway 14 Ste C
Simpsonville, SC 29681-6055

Phone

(864) 757-2370

NPI assigned

Sep 26, 2023

Last updated

Sep 26, 2023By 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. John Boutwell, DDSNPI 1770108102

Title

Doctor, Co-Owner

Phone

(864) 757-2370

Specialties & licenses 1

Addresses

Other names 1

• BWell Family Dentistry and Spa Doing business as

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.

• John Frazier Boutwell, DDS

  • Dentist
  • Greenville, SC
  • NPI 1770108102
  NPD Authorized official

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1962281105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 HIGHWAY 14 STE C",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296816055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 HIGHWAY 14 STE C",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296816055",
            "telephone_number": "864-757-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUTWELL DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "BOUTWELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR, CO-OWNER",
        "authorized_official_telephone_number": "864-757-2370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BWell Family Dentistry and Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenyatta Tavaris Bostic
• Amanda Bostick, P.T.
• Megan Bouchard, PHARMD
• Nakita Bouie
• Robert G Bousquet, D.C.
• Joanna Lea Boutwell, DDS
• Eathel L. Bowen, R.PH.
• Gertrude Norton Boxall, N.P.
• Monique Leekam Boyd, NP-C
• Jodi Boylen, SLP

• Dental Clinic/Center in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.