DESTINATION DENTAL OF DUNCAN LLC (NPI# 1124635495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124635495 |
| Entity Type | Organization |
| Organization Name | DESTINATION DENTAL OF DUNCAN LLC |
| Practice Address |
155 Deacon Tiller Ct Duncan SC 29334-8880 |
| Mailing Address |
401 Commerce Dr Ste 108 Fort Washington PA 19034-2724 |
| Practice Telephone | 8644852214 |
| Practice Fax Number | 8644852215 |
| Mailing Telephone | 2155504590 |
| Mailing Fax Number | 2156466166 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | DR. NIRANJAN SAVANI (OWNER) |
| Authorized Official Telephone | 2155504590 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
155 DEACON TILLER CT |
| City | DUNCAN |
| State | SC |
| Zip Code | 29334-8880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487032272 | Polly Wright Rector | Specialist | 120 S Spencer St, Duncan, SC 29334 | 2015-05-12 |
| 1417343286 | Rubina Batool Baksh | Pediatrics | 500 Squires Pt Ste A, Duncan, SC 29334 | 2015-04-08 |
| 1922274463 | Joseph Brandon Chadwell | Dentist | 705 Squires Pt, Duncan, SC 29334 | 2008-05-05 |
| 1306068127 | Worth Family Chiropractic | Chiropractor | 1531 E Main St #2, Duncan, SC 29334 | 2007-05-02 |
| 1912031717 | Laura Ann Gray | Speech-Language Pathologist | 407 Caperton Way, Duncan, SC 29334 | 2007-03-15 |
| 1457429078 | Spartanburg County School District No. 5 | Registered Nurse | 100 N. Danzler Rd, Duncan, SC 29334 | 2006-12-01 |
| 1003913328 | World Class Healthcare Pa | Chiropractor | 700 Squire's Pt, Ste. B, Duncan, SC 29334 | 2006-09-20 |
| 1245348242 | Craig Bernard Pruitt | Optometrist | Vision Plus 1955 E Main St, 1955 East Main St. Suite C., Duncan, SC 29334 | 2006-08-29 |
| 1861415085 | Mary Black Health System LLC | Family Medicine | 500 Squires Pointe, Duncan, SC 29334 | 2006-07-26 |
| 1982622585 | Derek T Dunlap | Dentist | 700 Squire's Pointe Drive, Suite A, Duncan, SC 29334 | 2006-07-18 |
| Find all providers in zip 29334 | ||||
| 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 |
|---|---|---|---|---|
| 1487900726 | Coty Shores | Dentist | 1640 W Plato Rd, Duncan, OK 73533-1264 | 2012-07-24 |
| 1972788222 | Thelma Joann Dillard | Dentist | 1415 W Main Street, Duncan, OK 73533 | 2008-01-07 |
| 1780702449 | Robert L Keels | Dentist | 600 Squires Pt, Duncan, SC 29334-8868 | 2007-03-27 |
| 1487787115 | Michael Earl Nelson | Dentist | 2025 W Elk Ave, Suite A, Duncan, OK 73533-1602 | 2007-03-13 |
| 1457386864 | Robert Drew Schick | Dentist | 1007 W Oak Ave, Duncan, OK 73533-4537 | 2006-07-12 |
| 1205879160 | Rodney Nelson | Dentist | 1501 Brookwood Ave, Suite F, Duncan, OK 73533-1358 | 2006-06-14 |
| 1346232279 | William E Beeson | Dentist | 2815 W Elk Ave, Suite B, Duncan, OK 73533-1574 | 2005-08-17 |
| 1104828656 | Carl S Schreiner IIi | Dentist | 2035 W Elk Ave, Duncan, OK 73533-1641 | 2005-08-15 |
| 1801387923 | Sarah Ann Chancey | Dentist | 1022 W Main St, Duncan, OK 73533-4536 | 2018-05-24 |
| 1487184149 | Matthew Loren Bridges | Dentist | 2035 W Elk Ave, Duncan, OK 73533-1641 | 2017-06-15 |
| Find all providers in DUNCAN | ||||
Please comment or provide details below to improve the information on DESTINATION DENTAL OF DUNCAN 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.