DR. JACK MESSENGER CONDREY JR. (NPI# 1407875289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407875289 |
| Entity Type | Individual |
| Full Name | DR. JACK MESSENGER CONDREY JR. |
| Credential | DMD |
| Practice Address |
5306 Parkshire Way Charleston SC 29418-2000 |
| Practice Telephone | 8435521600 |
| Practice Fax Number | 8435520049 |
| Mailing Telephone | 8435521600 |
| Mailing Fax Number | 8435520049 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2785 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 992785 | 05 |
| Street Address |
5306 PARKSHIRE WAY |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29418-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710529235 | Safe Keeping Healthcare LLC | Home Health | 2850 Ashley Phoshate Rd Suite J, Charleston, SC 29418 | 2019-10-16 |
| 1487136180 | Aston J Rosenberg | Speech-Language Pathologist | 4362 Leslie St, North Charleston, SC 29418 | 2018-08-30 |
| 1285178996 | Aaron Brown | Counselor | 5060 Dorchester Road, Suite 200, North Charleston, SC 29418 | 2016-12-14 |
| 1003265828 | Health Edge Laser LLC | Chiropractor | 4965 Centre Pointe Dr. Suite 100, North Charleston, SC 29418 | 2016-06-13 |
| 1568866481 | Rickey Ciapha Dennis Sr. | Social Worker | 108 Knightsbridge Drive, North Charleston, SC 29418 | 2014-10-21 |
| 1780086330 | Stephanie Washington | Specialist | 5060 Drochester Rd, North Charleston, SC 29418 | 2014-09-25 |
| 1043631369 | Julian H. Campbell, Dmd PC | Dentist | 3188 W. Montague Ave, North Charleston, SC 29418 | 2014-01-05 |
| 1750660676 | Marie's Home Care | Home Health | 7610 Mcknight St., Apt.a, North Charleston, SC 29418 | 2011-08-09 |
| 1437437548 | Trident General Dentistry, Douglas S Rawls, Dm | Dentist | 6335 Dorchester Road, North Carleston, SC 29418 | 2011-07-25 |
| 1508165291 | Patrick Michael Looser | Internal Medicine | 4969 Centre Pointe Dr Ste 100, North Charleston, SC 29418 | 2011-03-21 |
| Find all providers in zip 29418 | ||||
| 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 |
|---|---|---|---|---|
| 1265039754 | Ravi Bhupen Patel | Dentist | 1755 Central Park Rd, Unit 1107, Charleston, SC 29412-2846 | 2020-10-07 |
| 1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
| 1023627619 | Dental Professional of South Carolina, P.C. | Dentist | 702 Hopewell Dr, Charleston, SC 29492-7102 | 2020-07-29 |
| 1427673946 | Leslie Jordan Mcgarity | Dentist | 29 Bee Street Dc 271 Msc 507, Charleston, SC 29425-0001 | 2020-06-10 |
| 1629691449 | Tgd-west Ashley LLC | Dentist | 2048 Sam Rittenberg Blvd Ste 2, Charleston, SC 29407-4673 | 2020-05-27 |
| 1922650647 | Kinnara Vasamsetti Emmons | Dentist | 46 Queen St Apt B, Charleston, SC 29401-2805 | 2019-07-12 |
| 1932769189 | John Fitzgerald | Dentist | 26 Bee Street Msc 507 Dental Clinic Room 550, Charleston, SC 29425-0001 | 2019-06-19 |
| 1144880808 | Miranda Jo Ferrari | Dentist | 3 Creekstone Rdg, Charleston, WV 25309-8986 | 2019-06-15 |
| 1114586054 | Charleston Dental Associates, LLC | Dentist | 915 Saint Andrews Blvd, Charleston, SC 29407-7138 | 2019-06-12 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29418 |
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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.