Organization Active NPI

Reed Williamson, DMD, LLC

Doing business as Tidewater Dentistry

  • General Practice Dentistry
  • Summerville, SC
National Provider Identifier
1962923839
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
REED WILLIAMSON, DMD, LLC
Doing business as
Tidewater Dentistry
Practice address
502 N Pine St
Summerville, SC 29483-6555
Phone
(843) 250-5213
NPI assigned
Jun 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Dr. James Reed Williamson, DMDNPI 1619320116
Title
Owner
Phone
(843) 873-1646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

502 N Pine St
Summerville, SC 29483-6555

Mailing address

1993 Belair CT
Mount Pleasant, SC 29464-6291

Other names 1

  • Tidewater Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

502 N Pine St
Summerville, SC 29483
Phone (843) 250-5213

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1962923839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1993 BELAIR CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N PINE ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836555",
            "telephone_number": "843-250-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED WILLIAMSON, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-873-1646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tidewater Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tidewater Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.