GAVIN L CRISER (NPI# 1508029554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508029554 |
| Entity Type | Individual |
| Full Name | GAVIN L CRISER |
| Credential | DDS, MS |
| Practice Address |
220 Cherokee Rd Ste B Florence SC 29501-5225 |
| Practice Telephone | 8436623336 |
| Mailing Telephone | 8436623336 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2010-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
6899 | SC | Dental Providers |
| Street Address |
220 CHEROKEE RD STE B |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861613309 | Joel P Hearn | Dentist | 309 W College St, Florence, AL 35630-5555 | 2007-05-01 |
| 1316166457 | Edward Wilder Smith Jr. | Dentist | 1910 Bruin Dr, Florence, AL 35630-6717 | 2007-04-25 |
| 1861400178 | John Douglas Snowden Sr. | Dentist | 1507 B Heritage Lane, Florence, SC 29505 | 2006-08-03 |
| 1437178381 | Jason Eric Walden | Dentist | 6905 Burlington Pike, Suite A, Florence, KY 41042 | 2006-07-19 |
| 1003024316 | Richard Keith Mullins | Dentist | 7205 Dixie Hwy, Suite 3, Florence, KY 41042-2176 | 2007-05-18 |
| 1497974547 | Smith and Smith Endodontics, P.C. | Dentist | 1910 Bruin Dr, Florence, AL 35630-6717 | 2007-04-25 |
| 1285853325 | Carol Hwang Smith | Dentist | 1910 Bruin Dr, Florence, AL 35630-6717 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1568775468 | Kool Smiles Sc-2, PC | Dentist | 5422 Forest Dr, Columbia, SC 29206-5412 | 2010-07-20 |
| 1992018899 | Kool Smiles Sc-2, PC | Dentist | 4400 Dorchester Rd Ste 108, Charleston, SC 29405-6863 | 2010-07-20 |
| 1912230335 | Omar James Jones IIi | Dentist | 237 Plantation Dr, Manning, SC 29102-9504 | 2009-09-16 |
| 1972733624 | Robert P Bethea | Dentist | 34 Lakeview Cir, Columbia, SC 29206-3214 | 2009-07-15 |
| 1295975977 | Jason H. Cohen, Dmd, LLC | Dentist | 198 Rutledge Ave Ste 3, Charleston, SC 29403-5834 | 2009-02-20 |
| 1912188525 | Michael Eugene Piepenbring | Dentist | 1109 Memorial Ln Ste B, Georgetown, SC 29440-3369 | 2007-11-26 |
| 1962600437 | Michael John Pfister | Dentist | 101 Finley St, Clemson, SC 29631-1583 | 2007-07-06 |
| 1205045382 | Joseph Davin Bonavilla | Dentist | 888 Cook Rd, Orangeburg, SC 29118-2126 | 2007-05-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GAVIN L CRISER.
| 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.