DR. JOHN R HENDRICKS JR. (NPI# 1669695045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669695045 |
| Entity Type | Individual |
| Full Name | DR. JOHN R HENDRICKS JR. |
| Credential | D.D.S. |
| Practice Address |
70 Pennington Dr Ste 7 Bluffton SC 29910-6056 |
| Mailing Address |
10700 Medlock Bridge Rd Suite 202 Duluth GA 30097-8456 |
| Practice Telephone | 8437063377 |
| Practice Fax Number | 8437063381 |
| Mailing Telephone | 7708130079 |
| Mailing Fax Number | 7708147407 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9271 | SC | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
010491 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | SEPERATE TAX ID # | 582014496 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154476976 | John Everett Hendricks Jr. | Physician Assistant | 5411 W 78th St, Johns Hopkins University/pepsico Health & Wellness Ctr, Indianapolis, IN 46268-4150 | 2007-01-24 |
| 1992705610 | John C Hendricks | Physician Assistant | 75 Sheldon Blvd Se, Suite 100, Grand Rapids, MI 49503 | 2005-07-22 |
| 1902319023 | John Hendricks | Counselor | 411 Court St, Portsmouth, OH 45662-3932 | 2017-11-11 |
| 1437228368 | John Hendricks | Chiropractor | 102 E Ludington Ave, Ludington, MI 49431-2191 | 2006-11-07 |
| 1902849029 | John C Hendricks | Ophthalmology | 601 John St, Suite M261, Kalamazoo, MI 49007-5341 | 2006-06-14 |
| 1679529846 | John Y Hendricks | Anesthesiology | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2006-05-26 |
| 1013977677 | John C. Hendricks | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-27 |
| 1750381935 | John C Hendricks | Anesthesiology | 2701 17th St, Rock Island, IL 61201-5351 | 2005-07-28 |
| Street Address |
70 PENNINGTON DR STE 7 |
| City | BLUFFTON |
| State | SC |
| Zip Code | 29910-6056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992269245 | John Hendricks Dds LLC | Clinic/Center | 70 Pennington Dr Ste 7, Bluffton, SC 29910-6056 | 2019-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912444 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2501 May River Crossing, Bluffton, SC 29910 | 2020-11-03 |
| 1447873815 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 4812 Bluffton Parkway, Bluffton, SC 29910 | 2020-05-20 |
| 1831682327 | Tattnall Hospital Company LLC | Occupational Therapist | 8201 Pinellas Dr, Bluffton, SC 29910 | 2018-06-11 |
| 1437647070 | Health Performance Systems LLC | Massage Therapist | 20 Towne Dr Ste 102, Bluffton, SC 29910 | 2018-04-30 |
| 1659880540 | Jessica Partain | Assistant Behavior Analyst | 254 Red Cedar St Ste 11, Bluffton, SC 29910 | 2017-09-24 |
| 1760901177 | Thomas Ross Miller | Specialist/Technologist | 7 Independence Place, Bluffton, SC 29910 | 2017-09-18 |
| 1982124400 | Caitlin Diane Harvey | Behavioral Analyst | 4 Oliver Ct Ste 105, Bluffton, SC 29910 | 2017-06-26 |
| 1770011041 | Michael Ross Reeves | Physical Therapist | 38 Sheridan Park Cir Ste C, Bluffton, SC 29910 | 2017-05-31 |
| 1982141750 | Jebediah S. Christy, D.d.s. - Blufton, Pllc | Dentist | 1135 Fording Island Rd, Bluffton, SC 29910 | 2017-01-31 |
| 1225589377 | Kathryn Hope | Occupational Therapist | 31 Innovation Dr Ste 100, Bluffton, SC 29910 | 2016-10-24 |
| Find all providers in zip 29910 | ||||
| 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 |
|---|---|---|---|---|
| 1700375508 | Dental Professional of South Carolina, P.C. | Dentist | 370 Buckwalter Pkwy, Bluffton, SC 29910-5151 | 2018-05-07 |
| 1982141750 | Jebediah S. Christy, D.d.s. - Blufton, Pllc | Dentist | 1135 Fording Island Rd, Bluffton, SC 29910 | 2017-01-31 |
| 1275998544 | Gamble Dentalsmart PC | Dentist | 19 Towne Dr, Bluffton, SC 29910-4201 | 2015-12-30 |
| 1053663211 | Dynamic Dentistry LLC | Dentist | 12-b Arley Way, Suite 104, Bluffton, SC 29910 | 2012-10-11 |
| 1699022624 | Louis Edward Costa IIi | Dentist | 168 Bluffton Rd, Bluffton, SC 29910-6248 | 2012-08-09 |
| 1891069944 | Jeffrey C Bauer Dmd, PC | Dentist | 19 Promenade St, Unit 201, Bluffton, SC 29910-7037 | 2012-03-06 |
| 1144480179 | Bluffton Dental Clinic | Dentist | 1417 Baker Pl, Bluffton, IN 46714-1180 | 2008-06-12 |
| 1669681276 | Richard Edward Fetterman | Dentist | 14 Oak Forest Rd Ste F, Bluffton, SC 29910-4988 | 2007-05-21 |
| 1285857045 | David Allen Willits | Dentist | 317 W Market St, Bluffton, IN 46714-1936 | 2007-04-10 |
| 1215067707 | Patricia Lynn Warner | Dentist | 167 D Bluffton Rd, Bluffton, SC 29910 | 2007-03-06 |
| Find all providers in BLUFFTON | ||||
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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.