Active NPI
George Franklin Shull Jr.
- Dentist
- Lexington, SC
National Provider Identifier
1962572701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- SC3236
- Practice address
- 216 Palmetto Park Blvd
Lexington, SC 29072 - Phone
- (803) 808-0888
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | SC3236 | SC | Primary |
Addresses
Primary practice location
216 Palmetto Park Blvd
Lexington, SC 29072
Mailing address
128 Belfrey Drive
Lexington, SC 29072
Phone (803) 356-3289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC3236 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Dental Associates PA | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Lexington, SC
- NPI 1629142807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962572701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 BELFREY DRIVE",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "29072",
"telephone_number": "803-356-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 PALMETTO PARK BLVD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "29072",
"telephone_number": "803-808-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULL",
"first_name": "GEORGE",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "SC3236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.