R MATHIS 002 LLC (NPI# 1124664743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124664743 |
| Entity Type | Organization |
| Organization Name | R MATHIS 002 LLC |
| Practice Address |
2830 Reidville Rd Spartanburg SC 29301-5640 |
| Mailing Address |
240 N Grove Medical Park Dr Spartanburg SC 29303-4222 |
| Practice Telephone | 8645740762 |
| Mailing Telephone | 8646996382 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | DALLAS BURNETT (CEO) |
| Authorized Official Telephone | 8644150931 |
| 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 |
|---|---|
| Foothills Dental | Doing Business As Name - Organization |
| Street Address |
2830 REIDVILLE RD |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29301-5640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952464034 | Richard Carl Mathis | Dentist | 2830 Reidville Rd, Spartanburg, SC 29301-5640 | 2006-12-19 |
| 1902013162 | Dr. Richard C. Mathis | Dentist | 2830 Reidville Rd, Spartanburg, SC 29301-5640 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1841757192 | Paladina Health, LLC | Family Medicine | Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 | 2019-02-22 |
| 1073021143 | Yamira Valentin-fuentes | Chiropractor | 210 Westgate Mall Dr, Suite 6, Spartanburg, SC 29301 | 2018-01-11 |
| 1124426382 | Shellie Smith | Social Worker | 101 Washington Place, Spartanburg, SC 29301 | 2014-12-19 |
| 1356751770 | Lindsey Marie Dillon | Counselor | 250 Dewey Ave., Spartanburg, SC 29301 | 2014-05-07 |
| 1568892461 | Lauren Campbell Heiser | Physical Therapist | 2660 Reidville Rd # 6&7, Spartanburg, SC 29301 | 2013-11-14 |
| 1871843227 | Amy L Roberts | Occupational Therapist | 355 Oak Grove Rd., Spartanburg, SC 29301 | 2012-09-13 |
| 1023384419 | Elizabeth B. Gurley | Pharmacist | 211 West Blackstock Rd, Spartanburg, SC 29301 | 2012-03-29 |
| 1649564063 | Brooke Webster Fuentes | Physician Assistant | 300 E Blackstock Road, Suite E, Spartanburg, SC 29301 | 2011-06-02 |
| 1487943023 | Margaret Elizabeth Wilson | Counselor | 100 Ezell St., Spartanburg, SC 29301 | 2011-04-05 |
| Find all providers in zip 29301 | ||||
| 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 |
|---|---|---|---|---|
| 1891312039 | Prince B Moses | Dentist | 631 N Church St, Spartanburg, SC 29303-3046 | 2020-07-04 |
| 1316563133 | Todd Garrett Woollen | Dentist | 272 Cedar Springs Rd, Spartanburg, SC 29302-4643 | 2020-06-17 |
| 1790207801 | Pine Street Dental LLC | Dentist | 364 S Pine St Ste A101, Spartanburg, SC 29302-2654 | 2017-07-10 |
| 1932566197 | Gamble Dentalsmart PC | Dentist | 2127 E Main St, Suite E, Spartanburg, SC 29307-1454 | 2016-01-19 |
| 1437524469 | Hillcrest Family and Cosmetic Dentistry, LLC | Dentist | 2088 E Main St, Suite A & B, Spartanburg, SC 29307-1425 | 2015-12-02 |
| 1942601174 | Carolina Dental Docs LLC General Dentistry for Kids | Dentist | 1460 John B White Sr Blvd, Ste 1-c, Spartanburg, SC 29306 | 2014-09-08 |
| 1770915530 | Steven Andrew Richards | Dentist | 270 Cedar Springs Rd, Spartanburg, SC 29302-4654 | 2013-08-05 |
| 1659609485 | Regenesis Organzation Community Health Center | Dentist | 550 S Church Street, Unit 2, Spartanburg, SC 29306-3306 | 2009-12-07 |
| 1396972618 | Paul Michael Gibas Jr. | Dentist | 1585 Skylyn Drive, Spartanburg, SC 29307 | 2009-06-12 |
| 1225285646 | Radiant Dentistry | Dentist | 1440 Fernwood Glendale Rd, Spartanburg, SC 29307-3079 | 2008-08-27 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29301 |
Please comment or provide details below to improve the information on R MATHIS 002 LLC.
| 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.