WELVISTA (NPI# 1023527348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023527348 |
| Entity Type | Organization |
| Organization Name | WELVISTA |
| Practice Address |
395 Pine St E Varnville SC 29944-9617 |
| Practice Telephone | 8033007028 |
| Practice Fax Number | 8035844806 |
| Mailing Telephone | 8033007028 |
| Mailing Fax Number | 8035844806 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-10-10 |
| Authorized Official Name | GEORGIA FAMULINER (SMILES OPERATIONS DIRECTOR) |
| Authorized Official Telephone | 8035844803 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861796518 | Welvista | Pharmacy | 2700 Middleburg Drive, Suite 104, Columbia, SC 29204 | 2011-01-10 |
| 1023200441 | Welvista | Pharmacy | 2700 Middleburg Dr Ste 108, Columbia, SC 29204-2416 | 2007-08-10 |
| 1386727188 | Welvista | Dentist | 9077 Alex Harvin Hwy, Summerton, SC 29148-9803 | 2006-10-23 |
| 1922189885 | Welvista | Dentist | 1730a Highway 301 N, Dillon, SC 29536-1950 | 2006-10-18 |
| 1033290937 | Welvista | Dentist | 3269 Allendale Fairfax Hwy, Fairfax, SC 29827-9163 | 2006-10-18 |
| 1619058591 | Welvista | Dentist | 16 Weinberg St, Manning, SC 29102-2629 | 2006-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WELVISTA, INC. | 2700 Middleburg Dr, Ste 108, Columbia, SC 29204 |
| Street Address |
395 PINE ST E |
| City | VARNVILLE |
| State | SC |
| Zip Code | 29944-9617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304992 | Lillie Bing | Technician | 200 King Circle, Varnville, SC 29944 | 2019-09-06 |
| 1578030003 | Kayla Stroble Colson | Registered Nurse | 531 W Carolina Ave, Varnville, SC 29944 | 2018-11-02 |
| 1427502160 | Earl B Hartzog Dmd Pa | Dentist | 649 West Carolina Ave, Varnville, SC 29944 | 2016-08-11 |
| 1356740765 | Hampton County Disabilities and Special Needs Board | Day Training, Developmentally Disabled Services | 294 Hampton Road, Varnville, SC 29944 | 2014-08-21 |
| 1609284199 | Marie Singletary | Respiratory Therapist, Certified | 97 Melody Lane, Hampton, SC 29944 | 2014-07-28 |
| 1568881118 | Jill Thomas Knight | Registered Nurse | 531 West Caroline Ave, Varnville, SC 29944 | 2014-04-10 |
| 1578980082 | Gerri Buhler | Registered Nurse | 531 West Carolina Avenue, Varnville, SC 29944 | 2014-03-21 |
| 1568889079 | Teresa Mccrary | Registered Nurse | 531 West Carolina Ave. West, Varnville, SC 29944 | 2014-03-21 |
| 1720410657 | Comfort To You | In Home Supportive Care | 33 E. Palmetto Ave, Varnville, SC 29944 | 2013-08-02 |
| 1376840504 | Hampton Regional Medical Center - Swingbed | Medicare Defined Swing Bed Unit | 595 W. Carolina Ave, Varnville, SC 29944 | 2011-02-24 |
| Find all providers in zip 29944 | ||||
| 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 |
|---|---|---|---|---|
| 1427502160 | Earl B Hartzog Dmd Pa | Dentist | 649 West Carolina Ave, Varnville, SC 29944 | 2016-08-11 |
| 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.