Head Dental Associates

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8070 Issued in SC

Legal business name

HEAD DENTAL ASSOCIATES

Practice address

1483 Tobias Gadson Blvd
Suite 105
Charleston, SC 29407-8702

Phone

(843) 556-3838

Fax

(843) 556-4325

NPI assigned

Oct 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Nathen Douglas Head, DMD

Title

Manager

Phone

(803) 673-4788

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1962830216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD",
            "address_2": "SUITE 105",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294078702",
            "telephone_number": "843-556-3838",
            "fax_number": "843-556-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD",
            "address_2": "SUITE 105",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294078702",
            "telephone_number": "843-556-3838",
            "fax_number": "843-556-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "HEAD",
        "authorized_official_first_name": "NATHEN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-673-4788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "8070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Hazell, M.D.
• Courtney Hazelrigg, OTRL
• Madison Hazelwood
• Rebecca Jordan Hazelwood, M.ED., CCC-SLP, BCSS
• Lianying He
• Barbara Head, MD
• Juliana Head, DMD
• Kathleen Claire Head, M.D.
• Gary Fletcher Headden, M.D.
• Kendall Headden, MD

• Dental Clinic/Center in Charleston, SC
• Providers in Charleston, 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 Oct 24, 2013; 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.