FAMILY DENTAL HEALTH OF EASLEY, LLC (NPI# 1346513801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346513801 |
| Entity Type | Organization |
| Organization Name | FAMILY DENTAL HEALTH OF EASLEY, LLC |
| Practice Address |
9 Southern Center Court Suite B Easley SC 29642-1447 |
| Mailing Address |
400 Memorial Drive Ext Ste 400 Greer SC 29651-1850 |
| Practice Telephone | 8643068350 |
| Mailing Telephone | 8642821935 |
| Mailing Fax Number | 8647516387 |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | DR. BOBBY MONROE SAFRIT II (OWNER) |
| Authorized Official Telephone | 8642821935 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | FDH HOLDINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4138 | SC | Dental Providers |
| Street Address |
9 SOUTHERN CENTER COURT SUITE B |
| City | EASLEY |
| State | SC |
| Zip Code | 29642-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316911 | Marlesia Hall | Licensed Practical Nurse | 106 Teal Dr, Easley, SC 29642 | 2020-11-06 |
| 1437648904 | Onsite Healthcare and Wellness LLC | Nurse Practitioner | 217 Sheffield Ct, Easley, SC 29642 | 2018-05-09 |
| 1477073476 | Aubre True | Specialist/Technologist | 124 Century Oaks Dr, Easley, SC 29642 | 2017-06-21 |
| 1912439944 | First Physical Therapy, LLC | Clinic/Center | 3613 Sc 153, Suite 200, Powdersville, SC 29642 | 2017-03-29 |
| 1801146485 | Sara Michele Calvert | Pharmacist | 1063 South Pendleton Street, Easley, SC 29642 | 2012-09-11 |
| 1023365251 | Heather Lilley | Pharmacist | 5251 Calhoun Memorial Hwy, Easley, SC 29642 | 2012-08-07 |
| 1942590088 | Mallorie Bryan Costner | Speech-Language Pathologist | 507 Huntington Road, Easley, SC 29642 | 2011-04-11 |
| 1225352339 | Jon Lawrence Rhoden | Pharmacist | 320 Watson Road, Easley, SC 29642 | 2010-03-18 |
| 1386865350 | Gordon David Dannelly | Dentist | 701 Brushy Creek Road, Easley, SC 29642 | 2007-05-01 |
| 1538280755 | Michelle Leigh Tucker | Obstetrics & Gynecology | 1351 Crestview Road, Easley, SC 29642 | 2007-04-03 |
| Find all providers in zip 29642 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982044343 | Matthew Brian Martin | Dentist | 415 S Pendleton St, Easley, SC 29640-3072 | 2013-07-01 |
| 1891094298 | Binju Ghimire | Dentist | 128 Rolling Hills Cir, Aspen Dental, Easley, SC 29640-7400 | 2011-03-24 |
| 1295985042 | Judson Lee Suber | Dentist | 105 Sheringham Dr, Easley, SC 29642-2615 | 2008-09-29 |
| 1942419171 | William Kent Hammond | Dentist | 298 Enterprise Dr, Easley, SC 29640 | 2007-05-22 |
| 1386865350 | Gordon David Dannelly | Dentist | 701 Brushy Creek Road, Easley, SC 29642 | 2007-05-01 |
| 1295851780 | Easley Dental Center Pa | Dentist | 1673 E Main Street, Easley, SC 29640 | 2007-03-22 |
| 1699835520 | Theresa A Trapp | Dentist | 770 Saco Lowell Rd, Easley, SC 29640-3880 | 2006-12-11 |
| 1780753947 | John Houston Paxton | Dentist | 209 Four Lakes Drive, Easley, SC 29642-3307 | 2006-11-06 |
| 1316912389 | Gordon Alexander Gray | Dentist | 1040 S Pendleton St, Suite C, Easley, SC 29642-1047 | 2006-02-22 |
| 1902259864 | Kari Bauermeister | Dentist | 5075 Calhoun Memorial Hwy, Easley, SC 29640-3837 | 2016-07-15 |
| Find all providers in EASLEY | ||||
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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.