TGD-SUMMERVILLE LLC (NPI# 1366086621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366086621 |
| Entity Type | Organization |
| Organization Name | TGD-SUMMERVILLE LLC |
| Practice Address |
604-a Nexton Square Dr Summerville SC 29486 |
| Practice Telephone | 8435522580 |
| Practice Fax Number | 8438710453 |
| Mailing Telephone | 8435522580 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Authorized Official Name | DR. ERIC JAMES LAYTON (DENTIST) |
| Authorized Official Telephone | 8435522580 |
| Authorized Official Credential | DENTIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NA | NA | 01 |
| Street Address |
604-A NEXTON SQUARE DR |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
| 1750928164 | Tidewater Eyecare, LLC | Optometrist | 301 Front St., Summerville, SC 29486 | 2019-12-04 |
| 1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
| 1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
| 1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
| 1023511144 | Grace Physical Therapy and Sports Rehab At Nexton | Clinic/Center | 5500 Front St, Suite 201, Summerville, SC 29486 | 2018-03-15 |
| 1295253086 | Dillon Robert Gregory | Specialist/Technologist | 313 Springdale Ct., Summerville, SC 29486 | 2017-09-01 |
| 1013456987 | Sfd Kids LLC | Dentist | 108 Parish Farms Drive, Summerville, SC 29486 | 2017-02-13 |
| 1316333529 | Joanna Hedin | Social Worker | 89b Old Trolley Rd., Suite 207, Summerville, SC 29486 | 2015-04-14 |
| Find all providers in zip 29486 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1578785309 | James Frederick Mcclary Sr. | Dentist | 503 N. Pine Street, Summerville, SC 29483 | 2007-05-02 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29486 |
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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.