PRIME PEDIATRIC DENTISTRY (NPI# 1811405400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811405400 |
| Entity Type | Organization |
| Organization Name | PRIME PEDIATRIC DENTISTRY |
| Practice Address |
2420 Hoffmeyer Rd Unit A Florence SC 29501-7426 |
| Practice Telephone | 8435369888 |
| Mailing Telephone | 8435369888 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |
| Authorized Official Name | MS. KATHY C BOUROGYNE (OFFICE MANAGER) |
| Authorized Official Telephone | 8435369888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
2420 HOFFMEYER RD UNIT A |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-7426 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780176412 | Palmetto Smiles of Florence Pa | Clinic/Center | 1260 Celebration Blvd, Florence, SC 29501-5498 | 2018-05-30 |
| 1003050568 | G. Thomas Bryce, Jr., Dds Pa | Clinic/Center | 1509 W Palmetto St, Florence, SC 29501-4131 | 2009-04-28 |
| 1962554626 | Family Dental Care Associates Psc | Clinic/Center | 6616 Dixie Hwy, #1, Florence, KY 41042 | 2007-01-16 |
| 1265529820 | Matthew N. Wilbanks, Dmd, PC | Clinic/Center | 2801 W Mall Dr, Florence, AL 35630-1563 | 2006-10-06 |
| 1841232428 | Florence Dental Associates LLC | Clinic/Center | 2251 W Palmetto St, Florence, SC 29501 | 2006-06-11 |
| 1639716475 | Chad E. Clement, Dds, PC | Clinic/Center | 1256 Bay St, Florence, OR 97439-9648 | 2019-11-27 |
| 1306406350 | Florence Family Dental | Clinic/Center | 2138 Helton Dr, Florence, AL 35630-1449 | 2019-06-20 |
| 1205301777 | Hickory Hills Dental Care LLC | Clinic/Center | 1947 Florence Blvd, Florence, AL 35630-2729 | 2018-10-10 |
| 1598003832 | Pinnacle One Dental Group | Clinic/Center | 7766 Ewing Blvd, Floor 3, Florence, KY 41042-7537 | 2013-01-22 |
| 1003061250 | Florence Dental Pllc | Clinic/Center | 46 E 11th St, Florence, AZ 85232 | 2008-12-01 |
| Find all providers in FLORENCE | ||||
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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.