FAMILY DENTISTRY OF EDGEFIELD (NPI# 1073068847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073068847 |
| Entity Type | Organization |
| Organization Name | FAMILY DENTISTRY OF EDGEFIELD |
| Practice Address |
437 Bauskett St Edgefield SC 29824-4501 |
| Practice Telephone | 8036374616 |
| Practice Fax Number | 8887233083 |
| Mailing Telephone | 8036374616 |
| Mailing Fax Number | 8887233083 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |
| Authorized Official Name | DR. MATTHEW WAYNE COOK (OWER/DOCTOR) |
| Authorized Official Telephone | 8036374616 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4708 | SC | Dental Providers |
| Street Address |
437 BAUSKETT ST |
| City | EDGEFIELD |
| State | SC |
| Zip Code | 29824-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114248150 | Matthew Wayne Cook | Dentist | 437 Bauskett St, Edgefield, SC 29824-4501 | 2010-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386993483 | Kim Massey Holsomback | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-05 |
| 1093962359 | Edgefield County Senior Citizens Council | Voluntary or Charitable | 15 Center Spring Road, Edgefield, SC 29824 | 2008-08-19 |
| 1114108735 | Banks Pharmacy | Clinic/Center | 100 Ridge Medical Plaza, Suite 101, Edgefield, SC 29824 | 2007-11-26 |
| 1255525648 | Carolina Youth Combat Systems | Counselor | 722 Augusta Rd, Edgefield, SC 29824 | 2007-08-29 |
| 1972663763 | Tami Y Massey | Family Medicine | 155 Ridge Medical Plaza Rd, Suite A, Edgefield, SC 29824 | 2006-12-11 |
| 1093166514 | Self Medical Group | Family Medicine | 155 Ridge Medical Plaza Rd, Suite A, Edgefield, SC 29824 | 2016-06-27 |
| 1376960955 | Carla Dorn | Licensed Practical Nurse | 21 Star Rd, Edgefield, SC 29824 | 2014-03-21 |
| 1487904819 | Julian Thomas Rushin | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-13 |
| 1134478225 | Marvin Gene Cason | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-05 |
| 1205197019 | Robert Brightharp | Family Medicine | 155 Ridge Medical Plaza, Suite 102, Edgefield, SC 29824 | 2012-06-07 |
| Find all providers in zip 29824 | ||||
| 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 |
|---|---|---|---|---|
| 1114248150 | Matthew Wayne Cook | Dentist | 437 Bauskett St, Edgefield, SC 29824-4501 | 2010-06-14 |
| 1982879144 | Edgefield Associates | Dentist | 315 Buncombe St, Edgefield, SC 29824-1062 | 2008-04-28 |
| 1437244787 | Jeffery Reed Gosney | Dentist | 704 Columbia Rd, Edgefield, SC 29824-4309 | 2006-10-03 |
| 1982611430 | Leah B Wilkins | Dentist | 901 Columbia Rd, Edgefield, SC 29824-4330 | 2006-08-01 |
| 1184652786 | Jeffrey Richard Slavkovsky | Dentist | 200 Parker Rd, Edgefield, SC 29824-4201 | 2006-06-30 |
| 1346717733 | Christina Covar Mullins | Dentist | 901 Columbia Rd, Edgefield, SC 29824-4323 | 2018-10-24 |
| 1003003674 | Dr. Jeffery R. Gosney | Dentist | 704 Columbia Rd, Edgefield, SC 29824-4309 | 2007-09-27 |
| 1952318628 | Ransom L. Bryan Jr. | Dentist | 901 Columbia Rd, Edgefield, SC 29824-4330 | 2006-08-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.