MUSC COLLEGE OF DENTAL MEDICINE (NPI# 1952517161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952517161 |
| Entity Type | Organization |
| Organization Name | MUSC COLLEGE OF DENTAL MEDICINE |
| Practice Address |
173 Ashley Ave Bsb 246 Charleston SC 29425-0001 |
| Practice Telephone | 8437922142 |
| Practice Fax Number | 8437923611 |
| Mailing Telephone | 8437922142 |
| Mailing Fax Number | 8437923611 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN MARK BARRY (ASSOCIATE DEAN FOR CLINICAL AFFAIRS) |
| Authorized Official Telephone | 8437922142 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
SC-3198 | SC | Ambulatory Health Care Facilities |
| Street Address |
173 ASHLEY AVE BSB 246 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053303966 | Mullen O Coover | Dentist | 173 Ashley Ave, Bsb-335, Charleston, SC 29425-8908 | 2005-08-17 |
| 1093331472 | Austin Anthony Hughes | Dentist | 173 Ashley Ave, Charleston, SC 29425-8908 | 2020-06-22 |
| 1205489739 | Frances Gouldin | Dentist | 173 Ashley Ave, Charleston, SC 29425-8908 | 2019-07-23 |
| 1093105579 | Timothy Rohde | Dentist | 173 Ashley Ave, Bsb 546, Msc 507, Charleston, SC 29425-8908 | 2015-02-04 |
| 1639593254 | Medical University of South Carolina | Dentist | 173 Ashley Ave, Charleston, SC 29425-8908 | 2014-02-18 |
| 1194026153 | Medical University of Sc | Dentist | 173 Ashley Ave, Charleston, SC 29425-8908 | 2010-11-08 |
| 1780902734 | Jompobe Vuthiganon | Dentist | 173 Ashley Ave, Bsb Rm 546, Charleston, SC 29425-8908 | 2010-05-13 |
| 1558595074 | Mark Lane Mcentire | Dentist | 173 Ashley Ave, Charleston, SC 29425-8908 | 2009-05-12 |
| 1902069271 | Michael Kinon Lecholop | Dentist | 173 Ashley Ave, Charleston, SC 29425-8908 | 2008-07-08 |
| 1174708010 | Frederick Thomas Moore | Dentist | 173 Ashley Ave, Bsb 249, Charleston, SC 29425-8908 | 2008-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303770 | Holy City Dentistry LLC | Clinic/Center | 862 Folly Rd Ste 110, Charleston, SC 29412-3452 | 2019-08-29 |
| 1902345630 | Smile On Charleston, LLC | Clinic/Center | 91 Rutledge Ave, Charleston, SC 29401-1722 | 2017-02-14 |
| 1710389879 | Smileology Eco Dental Spa PC | Clinic/Center | 2106 Mount Pleasant St, # P-137, Charleston, SC 29403-3026 | 2014-09-19 |
| 1871848218 | Endodontic Associates of Charleston | Clinic/Center | 349 Folly Rd Ste 1c, Charleston, SC 29412-2508 | 2012-07-23 |
| 1295915866 | Charles E Wright Dds | Clinic/Center | 1005b Bridge Rd, Charleston, WV 25314-1305 | 2007-11-12 |
| 1023180528 | Ellis Oaks Dental Center LLC | Clinic/Center | 776 Daniel Ellis Drive, Suite 3a, Charleston, SC 29412 | 2006-11-14 |
| 1740892827 | James Myers IIi LLC | Clinic/Center | 112 1/2 Ashley Ave, Charleston, SC 29401-1249 | 2020-08-19 |
| 1508478777 | Cfd Ji LLC | Clinic/Center | 693 Whispering Marsh Dr, Charleston, SC 29412-4423 | 2020-08-19 |
| 1932711314 | Charleston Family Dentistry of West Ashley | Clinic/Center | 2170 Savannah Hwy, Charleston, SC 29414-5311 | 2020-08-18 |
| 1104468172 | Charleston Dental & Dentures LLC | Clinic/Center | 2020 Savannah Hwy, Charleston, SC 29407-6286 | 2019-10-11 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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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.