PALMETTO DENTAL STUDIO PELZER, LLC (NPI# 1932509221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932509221 |
| Entity Type | Organization |
| Organization Name | PALMETTO DENTAL STUDIO PELZER, LLC |
| Practice Address |
112 Highway 20 S Pelzer SC 29669-1509 |
| Mailing Address |
Po Box 456 Pelzer SC 29669-0456 |
| Practice Telephone | 8649479886 |
| Practice Fax Number | 8649474323 |
| Mailing Telephone | 8649479886 |
| Mailing Fax Number | 8649474323 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |
| Authorized Official Name | ANDY R BUTCHER (OWNER) |
| Authorized Official Telephone | 8649479886 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4203 | SC | Dental Providers |
| Street Address |
112 HIGHWAY 20 S |
| City | PELZER |
| State | SC |
| Zip Code | 29669-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518081884 | Connor Brown Hopkins | Dentist | 112 Highway 20 S, Pelzer, SC 29669-1509 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881027985 | Crystal S Sims | Local Education Agency (LEA) | 10 W Stewart St, Pelzer, SC 29669-1126 | 2013-08-13 |
| 1720414667 | Denise Marie Bentley | Registered Nurse | 10 W Stewart St, Pelzer, SC 29669-1126 | 2013-09-24 |
| 1649828351 | Tammy Turner | Technician | 17 Hindman St, Pelzer, SC 29669-1222 | 2019-08-27 |
| 1093940967 | Jacquelyn Denise Robins | Advanced Practice Midwife | 411 Anderson St, Pelzer, SC 29669-1322 | 2009-05-21 |
| 1831448570 | Laura L Roberts | Pharmacist | 1 Main Street, West Pelzer, SC 29669-1503 | 2012-09-07 |
| 1306194345 | Julie Saylors Martin | Pharmacist | 1 Main St, Pelzer, SC 29669-1503 | 2012-08-23 |
| 1720235492 | Tina Renee Aiken | Pharmacist | 1 Main St, Pelzer, SC 29669-1503 | 2008-08-25 |
| 1740383504 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1 Main St, West Pelzer, SC 29669-1503 | 2006-09-07 |
| 1568518397 | Robert Todd Holliday | Chiropractor | 38 Main St, Pelzer, SC 29669-1514 | 2007-01-26 |
| 1154403020 | Pelzer Rescue Squad | Ambulance | 141 Lebby St, Pelzer, SC 29669-1721 | 2006-10-20 |
| Find all providers in zip 29669 | ||||
| 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 |
|---|---|---|---|---|
| 1518081884 | Connor Brown Hopkins | Dentist | 112 Highway 20 S, Pelzer, SC 29669-1509 | 2007-03-19 |
| 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.