PROGRIN DENTAL OF BOILING SPRINGS LLC (NPI# 1063775633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063775633 |
Entity Type | Organization |
Organization Name | PROGRIN DENTAL OF BOILING SPRINGS LLC |
Other Organization Name | PROGRIN DENTAL |
Practice Address |
8810 Highway 9 Inman SC 29349-8718 |
Mailing Address |
Po Box 38 Inman SC 29349-0038 |
Practice Telephone | 8645921647 |
Practice Fax Number | 8645920630 |
Mailing Telephone | 8645921647 |
Mailing Fax Number | 8645920630 |
Enumeration Date | 2012-06-19 |
Last Update Date | 2012-06-19 |
Authorized Official Name | MR. BRENT ALLEN AYERS (PRESIDENT) |
Authorized Official Telephone | 8645617559 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Other Name | Type Code |
---|---|
ProGrin Dental | Doing Business As Name - Organization |
Street Address |
8810 HIGHWAY 9 |
City | INMAN |
State | SC |
Zip Code | 29349-8718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164675252 | Kirkland Woodruff Clark IIi | Dentist | 8810 Highway 9, Inman, SC 29349-8718 | 2008-11-03 |
1770922932 | Janet Ashton Butler | Dentist | 8810 Highway 9, Inman, SC 29349-8718 | 2013-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386129336 | Shela Beth Hipolito | Nurse Practitioner | 1827, 59 Blackstock Rd, Inman, SC 29349 | 2018-09-26 |
1669784054 | Carolina Vision Associates, LLC | Optometrist | 43 N. Main Street, Inman, SC 29349 | 2010-07-14 |
1902038797 | Thomas William Beauchamp Sr. | Dentist | 26 Mill St., Thomas W. Beauchamp Dds, Inman, SC 29349 | 2009-08-13 |
1104026111 | Analyn M Mccutchen | Physical Therapist | 63 Blacstock Rd, Inman, SC 29349 | 2007-07-19 |
1417053406 | Lake Bowen Dental | Dentist | 8810 Hwy 9, Inman, SC 29349 | 2006-09-16 |
1669405262 | Nicole Korin Lavis | Physician Assistant | 12051 Asheville Hwy, Inman, SC 29349 | 2006-07-08 |
1528018322 | Catherine Eloy Hunt | Family Medicine | 12330 Asheville Highway, Inman, SC 29349 | 2006-05-11 |
1609347822 | Oakridge Heath Care Limited Liability Company | General Practice | 2470 Old Mill Rd, Inman, SC 29349 | 2018-12-16 |
1316281199 | Stephanie Nicole Patterson | Pharmacist | 2470 Old Mill Rd, Inman, SC 29349 | 2012-11-19 |
1659650968 | Tumana Scott | Massage Therapist | 5073 Highway 9, Inman, SC 29349 | 2011-08-04 |
Find all providers in zip 29349 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245754951 | Julie J Cecil | Dentist | 750 Foster Rd, Inman, SC 29349-8228 | 2017-08-03 |
1902038797 | Thomas William Beauchamp Sr. | Dentist | 26 Mill St., Thomas W. Beauchamp Dds, Inman, SC 29349 | 2009-08-13 |
1568638898 | Luther Hinkle Hallman | Dentist | 40 N Howard St, Inman, SC 29349-1411 | 2008-05-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518564046 | Leishman Dental | Dentist | 121 N Pine St, Batesburg Leesville, SC 29006-1974 | 2020-10-07 |
1265039754 | Ravi Bhupen Patel | Dentist | 1755 Central Park Rd, Unit 1107, Charleston, SC 29412-2846 | 2020-10-07 |
1447857289 | Rick & Pamela Dhillon Dmd - Sda LLC | Dentist | 3115a Brushy Creek Rd, Greer, SC 29650-0903 | 2020-10-05 |
1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
1043827314 | Dental Professionals of South Carolina, P.C. | Dentist | 1767 Heckle Blvd Ste 102, Rock Hill, SC 29732-1878 | 2020-09-30 |
1497361307 | Cane Bay Family Dentistry - Goose Creek LLC | Dentist | 129 Plantation North Blvd, Unit D, Goosecreek, SC 29445-2944 | 2020-09-17 |
1851906028 | Carolina Park Family Dentistry LLC | Dentist | 3520 Park Avenue Blvd., Suite 100, Mount Pleasant, SC 29466-2946 | 2020-09-14 |
1952915027 | Vdp Okatie LLC | Dentist | 10 William Pope Drive, Suite #2, Okatie, SC 29909 | 2020-09-04 |
1881208296 | Amanda Ho Van Garrett | Dentist | 122 S Goose Creek Blvd Ste A, Goose Creek, SC 29445-3136 | 2020-09-02 |
1871107409 | Ashley Czechner | Dentist | 11990 Highway 17 Byp Ste 8, Murrells Inlet, SC 29576-9379 | 2020-09-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.