WELVISTA (NPI# 1386727188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386727188 |
| Entity Type | Organization |
| Organization Name | WELVISTA |
| Other Organization Name | SUMMERTON SMILES FOR A LIFETIME |
| Practice Address |
9077 Alex Harvin Hwy Summerton SC 29148-9803 |
| Mailing Address |
Po Box 767 Summerton SC 29148-0767 |
| Practice Telephone | 8034786277 |
| Practice Fax Number | 8034786284 |
| Mailing Telephone | 8034786277 |
| Mailing Fax Number | 8034786284 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2017-09-20 |
| Authorized Official Name | MRS. GEORGIA BENNETT FAMULINER (OPERATIONS DIRECTOR) |
| Authorized Official Telephone | 8035844803 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZA9502 | 05 |
| Other Name | Type Code |
|---|---|
| Summerton Smiles for a Lifetime | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023527348 | Welvista | Dentist | 395 Pine St E, Varnville, SC 29944-9617 | 2017-09-29 |
| 1861796518 | Welvista | Pharmacy | 2700 Middleburg Drive, Suite 104, Columbia, SC 29204 | 2011-01-10 |
| 1023200441 | Welvista | Pharmacy | 2700 Middleburg Dr Ste 108, Columbia, SC 29204-2416 | 2007-08-10 |
| 1922189885 | Welvista | Dentist | 1730a Highway 301 N, Dillon, SC 29536-1950 | 2006-10-18 |
| 1033290937 | Welvista | Dentist | 3269 Allendale Fairfax Hwy, Fairfax, SC 29827-9163 | 2006-10-18 |
| 1619058591 | Welvista | Dentist | 16 Weinberg St, Manning, SC 29102-2629 | 2006-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WELVISTA, INC. | 2700 Middleburg Dr, Ste 108, Columbia, SC 29204 |
| Street Address |
9077 ALEX HARVIN HWY |
| City | SUMMERTON |
| State | SC |
| Zip Code | 29148-9803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225288517 | Clarendon Memorial Hosptial | Family Medicine | 1056 Felton Street, Summerton, SC 29148 | 2008-09-24 |
| 1043348923 | Linwood Ashwell Robinson Jr. | Dentist | 9 South Duke Street, Summerton, SC 29148 | 2007-03-01 |
| 1093707416 | Summerton Family Medicine LLC | Family Medicine | 107 Main Street, Summerton, SC 29148 | 2005-08-22 |
| 1740725100 | Summerton Primary Care | Nurse Practitioner | 123 Main St, Summerton, SC 29148 | 2016-12-21 |
| 1467582270 | Summerton Drug Inc | Durable Medical Equipment & Medical Supplies | 115 Main Street, Summerton, SC 29148 | 2007-03-07 |
| 1114052255 | Dale Scurry Barwick | Nurse Practitioner | 123 Main St, Po Box 69, Summerton, SC 29148 | 2007-02-22 |
| 1477698447 | Ernest Eugene Phillips | Pharmacist | 115 Main Street, Summerton, SC 29148 | 2007-02-20 |
| 1619012697 | Harold R Waynick Jr. | Pharmacist | 115 Main Street, Summerton, SC 29148 | 2007-02-20 |
| 1306910997 | Ernest Eugene Phillips IIi | Pharmacist | 115 Main Street, Summerton, SC 29148 | 2006-11-17 |
| 1619954377 | David T Koon Jr. | Family Medicine | 123 Main St, Summerton, SC 29148 | 2005-12-23 |
| Find all providers in zip 29148 | ||||
| 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 |
|---|---|---|---|---|
| 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.