DRS Cloninger and Reimels LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DRS CLONINGER AND REIMELS LLC

Practice address

1625 Glenns Bay Rd
Surfside Beach, SC 29575-4836

Phone

(843) 650-4500

NPI assigned

May 30, 2024

Last updated

May 30, 2024By 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

Amanda Groeschel

Title

Director

Phone

(704) 823-6357

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1992545636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 GLENNS BAY RD",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754836",
            "telephone_number": "843-650-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 GLENNS BAY RD",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754836",
            "telephone_number": "843-650-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS CLONINGER AND REIMELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "GROESCHEL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-823-6357"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeff L. Eggart, M.D.
• Beth E. Ehlen, LISW-CP
• Executive Court Medical Specialist P.C.
• Mary Kaye Favaro, M.D.

• General Practice Dentistry in Surfside Beach, SC
• Providers in Surfside Beach, 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 May 30, 2024; 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.