DENTAL ASSOCIATES OF SUMMERVILLE, LLC (NPI# 1063635753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063635753 |
| Entity Type | Organization |
| Organization Name | DENTAL ASSOCIATES OF SUMMERVILLE, LLC |
| Practice Address |
209 W 5th North St Summerville SC 29483-6511 |
| Practice Telephone | 8438733706 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MELISSA GROOMS (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 8438733706 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
SC | Dental Providers |
| Street Address |
209 W 5TH NORTH ST |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396968301 | Robert S Randall | Dentist | 209 W 5th North St, Summerville, SC 29483-6511 | 2007-04-10 |
| 1154869204 | Deaton Dental LLC | Dentist | 209 W 5th North St, Summerville, SC 29483-6511 | 2017-02-09 |
| 1306252887 | Steven Rhett Deaton | Dentist | 209 W 5th North St, Summerville, SC 29483-6511 | 2014-07-07 |
| 1184039034 | Tiffany Deaton | Dentist | 209 W 5th North St, Summerville, SC 29483-6511 | 2014-06-29 |
| 1932362498 | Peter T Sciarrino | Dentist | 209 W 5th North St, Summerville, SC 29483-6511 | 2008-07-05 |
| 1831314756 | Misti S Raman | Dentist | 209 W 5th North St, Summerville, SC 29483-6511 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
| Find all providers in zip 29483 | ||||
| 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 |
|---|---|---|---|---|
| 1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1720552524 | Sfd Knightsville LLC | Dentist | 487 W Butternut Rd, Summerville, SC 29483-5568 | 2019-01-15 |
| 1144762576 | Sfd Carnes LLC | Dentist | 110 Parish Farms Dr, Summerville, SC 29486-0409 | 2016-11-16 |
| 1619320116 | James Reed Williamson | Dentist | 502 N Pine St, Summerville, SC 29483-6555 | 2016-07-20 |
| 1487036794 | Seastone Dental | Dentist | 953 Orangeburg Rd, Ste B, Summerville, SC 29483-8941 | 2015-06-23 |
| 1235523887 | Melissa Owen | Dentist | 604a Nexton Square Dr, Summerville, SC 29486-7914 | 2015-03-21 |
| 1932406147 | Hubert Eric Heiden | Dentist | 2039 North Main Street, Summerville, SC 29483 | 2011-02-24 |
| 1780898353 | John M Corella | Dentist | 100 Harth Place, Summerville, SC 29485 | 2007-05-10 |
| 1902028269 | William Thomas Miller | Dentist | 502 North Pine Street, Summerville, SC 29483 | 2007-05-03 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29483 |
Please comment or provide details below to improve the information on DENTAL ASSOCIATES OF SUMMERVILLE, LLC.
| 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.