DR. WILLIAM RANDALL DONOVAN (NPI# 1205059060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205059060 |
Entity Type | Individual |
Full Name | DR. WILLIAM RANDALL DONOVAN |
Credential | DDS |
Practice Address |
3228b Wade Hampton Blvd Taylors SC 29687-2804 |
Practice Telephone | 8642685690 |
Practice Fax Number | 8642685669 |
Mailing Telephone | 8642685690 |
Mailing Fax Number | 8642685669 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
1731 | SC | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376880583 | William Blondell Donovan | Psychiatry & Neurology | 26217 Isabella Ave, Carmel, CA 93923-9127 | 2013-01-08 |
1851555635 | William Collins Donovan | Dentist | 65 Sams Point Rd, Beaufort, SC 29907-2010 | 2008-07-11 |
1477677201 | William Michael Donovan | Nurse Anesthetist, Certified Registered | 9326 Medical Plaza Dr Ste B, Charleston, SC 29406-9138 | 2007-03-19 |
1649304551 | William T Donovan | Counselor | 9 Mott Pl, Eastport, NY 11941-1124 | 2007-03-15 |
1518388669 | William Donovan | Pharmacist | 3904 Park Blvd, San Diego, CA 92103-3502 | 2013-12-16 |
1750549945 | William Patrick Donovan | Nurse Practitioner | 721 Bayou Pines East Dr, Lake Charles, LA 70601-7183 | 2008-05-25 |
1801997762 | William Joseph Donovan Jr. | Orthotist | 150 South Huntington Ave, Boston, MA 02130 | 2006-09-25 |
1003841859 | William Donovan | Orthopaedic Surgery | 5225 Katy Fwy, Ste 600, Houston, TX 77007-2264 | 2006-07-11 |
1205877529 | William H Donovan | Physical Medicine & Rehabilitation | 1333 Moursund St, Houston, TX 77030 | 2006-06-09 |
1972556827 | William N Donovan Jr. | Internal Medicine | 2844 Index Rd, Fitchburg, WI 53713-3117 | 2006-05-19 |
Street Address |
3228B WADE HAMPTON BLVD |
City | TAYLORS |
State | SC |
Zip Code | 29687-2804 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467070862 | Allison Brooke Leach | Registered Nurse | 505 Dewy Meadows Drive, Taylors, SC 29687 | 2020-07-12 |
1437500832 | Andrew Hunter Denardo | Dentist | 2801 Wade Hampton Blvd Ste 118, Taylors, SC 29687 | 2016-06-27 |
1629163951 | Patricia Sue Rowe | Chiropractor | 3575 Rutherford Rd Ext Suite C, Taylors, SC 29687 | 2006-10-03 |
1265547889 | Diabetic Services Inc | Durable Medical Equipment & Medical Supplies | 202 Bendingwood Circle, Taylors, SC 29687 | 2006-08-21 |
1336608033 | Taylors Free Medical Clinic, Inc. | Clinic/Center | 400 West Main Street, Taylors, SC 29687 | 2019-03-13 |
1528544368 | Allison F Doot | Pharmacist | 3300 Wade Hampton Blvd, Taylors, SC 29687 | 2018-07-16 |
1518330323 | Kelsey Mariah Matthews | Physician Assistant | 3551a Rutherford Rd, Taylors, SC 29687 | 2015-11-03 |
1619378478 | Justin Jennings | Pharmacist | 3027 Wade Hampton Blvd, Taylors, SC 29687 | 2014-09-11 |
1770839219 | Emily Gilstrap Colao | Dentist | 2801 Wade Hampton Blvd, Suite 118, Taylors, SC 29687 | 2012-08-02 |
1730479288 | Christopher Lee Howlett | Dentist | 2 E Lee Rd, Taylors, SC 29687 | 2011-04-17 |
Find all providers in zip 29687 |
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 |
---|---|---|---|---|
1063901635 | Jim Nasim, Dmd, Pa | Dentist | 2830 Wade Hampton Blvd Ste 5, Taylors, SC 29687-2751 | 2018-05-09 |
1114365137 | Taylos Dental, LLC | Dentist | 3220 Wade Hampton Blvd, Taylors, SC 29687-2860 | 2013-06-12 |
1982920617 | Family Dental Health of Blue Ridge, LLC | Dentist | 2543 Locust Hill Rd, Taylors, SC 29687-5835 | 2010-04-20 |
1578701629 | Sonrisas Hermosas | Dentist | 4501 Old Spartanburg Rd Ste 3, Taylors, SC 29687-4105 | 2009-01-28 |
1629213905 | Jeffrey Don Kelley | Dentist | 4501 Old Spartanburg Rd Ste 4, Taylors, SC 29687-4105 | 2008-12-15 |
1346246006 | Harry Lee Davis IIi | Dentist | 2 E Lee Rd, Taylors, SC 29687-3238 | 2005-06-27 |
1013442078 | Jonathan Elliot Fryml | Dentist | 1405 Brushy Creek Rd, Taylors, SC 29687-4008 | 2017-04-27 |
1134591530 | Hampton Woods Dental, P.C. | Dentist | 2 E Lee Rd, Taylors, SC 29687-3238 | 2015-10-24 |
1245612712 | Sarah Amelia Wyrick | Dentist | 4328 Wade Hampton Blvd, Suite #f, Taylors, SC 29687-2252 | 2015-06-22 |
1124363858 | Compass Dental, LLC | Dentist | 2801 Wade Hampton Blvd, Suite 118, Taylors, SC 29687-2781 | 2012-12-06 |
Find all providers in TAYLORS |
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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.