KATHRYN BULLWINKEL DMD MS LLC (NPI# 1275006272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275006272 |
| Entity Type | Organization |
| Organization Name | KATHRYN BULLWINKEL DMD MS LLC |
| Practice Address |
405 W 5th North St Summerville SC 29483-6515 |
| Practice Telephone | 8036064988 |
| Mailing Telephone | 8036064988 |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |
| Authorized Official Name | DR. KATHRYN STROUD BULLWINKEL (OWNER) |
| Authorized Official Telephone | 8036064988 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Summerville Pediatric Orthodontics | Doing Business As Name - Organization |
| Street Address |
405 W 5TH NORTH ST |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483-6515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245547884 | New Hope Professional Psychological Services, LLC | Psychologist | 405 W 5th North St, Suite B, Summerville, SC 29483-6515 | 2010-09-02 |
| 1811019490 | R. Allen Lish | Psychologist | 405 W 5th North St, Suite B, Summerville, SC 29483-6515 | 2007-04-04 |
| 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 | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225273972 | Robert Beasley Gamble Jr. | Dentist | 504 N Pine St, Summerville, SC 29483-6555 | 2008-12-10 |
| 1952568966 | Kenneth Britt Reagin | Dentist | 401 W 4th N Street, Summerville, SC 29483 | 2008-05-19 |
| 1447379979 | Charles D. Dean IIi | Dentist | 401 W 4th North St, Summerville, SC 29483-6547 | 2007-03-28 |
| 1245398940 | Alan Barbieri | Dentist | 100 Harth Pl, Summerville, SC 29485-8107 | 2006-12-05 |
| 1396803151 | Roland Kirk Fulcher | Dentist | 508 N Pine St, Summerville, SC 29483-6555 | 2006-12-05 |
| 1912510785 | Foster Orthodontics, Pa | Dentist | 1710 Trolley Rd Ste A, Summerville, SC 29485-8281 | 2020-08-31 |
| 1649693177 | Family Orthodontics of S. Carolina, LLC | Dentist | 302b Midland Pkwy, Summerville, SC 29485-8102 | 2014-02-04 |
| 1861653057 | Denise Carroll Swasty | Dentist | 1710 Trolley Rd Ste A, Summerville, SC 29485-8281 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
| 1518570902 | Foster Orthodontics, Pa | Dentist | 100 Hamlet Cir, Goose Creek, SC 29445-7111 | 2020-08-26 |
| 1740893122 | Foster Orthodontics, Pa | Dentist | 625 Skylark Dr, Charleston, SC 29407-5782 | 2020-08-26 |
| 1629602065 | Keith William Street | Dentist | 1460 John B White Sr Blvd Ste 1-5, Spartanburg, SC 29306-3996 | 2020-02-25 |
| 1225678931 | Rekha Wadhwa | Dentist | 100 Woodruff Place Cir, Simpsonville, SC 29681-3672 | 2020-01-10 |
| 1952965345 | Align America Sc, LLC | Dentist | 259 Textile Way Ste 103, Fort Mill, SC 29715-4550 | 2019-05-01 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1699267021 | Trevan Samp | Dentist | 22 Westedge St Ste 106b, Charleston, SC 29403-6983 | 2018-06-01 |
| 1548759244 | Smile Doctors of South Carolina, P.C. | Dentist | 105 Ben Casey Dr Ste 109, Fort Mill, SC 29708-8557 | 2018-05-08 |
| 1386158541 | Katherine Dean Solomon | Dentist | 102 Buckwalter Pkwy Ste 3j, Bluffton, SC 29910-4130 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29483 |
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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.