DR. RUSSELL S. EDDY (NPI# 1477501575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477501575 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL S. EDDY |
| Credential | DMD |
| Practice Address |
277 B Willbrook Blvd Pawleys Island SC 29585 |
| Mailing Address |
277 B Willbrook Blvd P. O. Box 4776 Pawleys Island SC 29585 |
| Practice Telephone | 8432359780 |
| Practice Fax Number | 8432358444 |
| Mailing Telephone | 8432359780 |
| Mailing Fax Number | 8432358444 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
3662 | SC | Dental Providers |
| Street Address |
277 B WILLBROOK BLVD |
| City | PAWLEYS ISLAND |
| State | SC |
| Zip Code | 29585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790303923 | Susan Kraus | Counselor | 1032 Algonquin Dr., 963-h, Pawleys Island, SC 29585 | 2020-07-14 |
| 1831737436 | Mary Ruth Blair | Counselor | 10689 Ocean Highway, Pawleys Island, SC 29585 | 2019-12-13 |
| 1518437110 | David Patrick Hanley | Home Health | 10698 Ocean Highway, Suite 100, Pawleys Island, SC 29585 | 2018-11-27 |
| 1154860369 | Danielle Olivia Woodley | Nurse Practitioner | 201 Business Center Dr., Pawleys Island, SC 29585 | 2017-02-21 |
| 1992241145 | Nichole Marie Evans | Nurse Practitioner | 10317 Ocean Highway 17 South, Pawleys Island, SC 29585 | 2017-01-11 |
| 1922559152 | Camri K Monaghan | Occupational Therapist | 120 Lakes of Litchfield Dr., Pawleys Island, SC 29585 | 2016-10-24 |
| 1245785666 | Hannah Rebecca Willis Rustin | Dentist | 34 Business Center Dr, Pawleys Island, SC 29585 | 2016-08-16 |
| 1750700894 | Veronica Seitzinger | Social Worker | 49 Pond View Dr, Pawleys Island, SC 29585 | 2014-04-15 |
| 1578813341 | Anne Marie Floyd | Physical Therapist | 120 Lakes At Litchfield Drive, Pawley's Island, SC 29585 | 2012-09-19 |
| 1356612170 | Jean C. Cross | Social Worker | Alston Rd, Pawleys Island, SC 29585 | 2012-01-25 |
| Find all providers in zip 29585 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568487890 | Julian Wade Nichols | Dentist | 13089 Ocean Hwy, D4, Pawleys Island, SC 29585-7140 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1568775468 | Kool Smiles Sc-2, PC | Dentist | 5422 Forest Dr, Columbia, SC 29206-5412 | 2010-07-20 |
| 1992018899 | Kool Smiles Sc-2, PC | Dentist | 4400 Dorchester Rd Ste 108, Charleston, SC 29405-6863 | 2010-07-20 |
| 1912230335 | Omar James Jones IIi | Dentist | 237 Plantation Dr, Manning, SC 29102-9504 | 2009-09-16 |
| 1972733624 | Robert P Bethea | Dentist | 34 Lakeview Cir, Columbia, SC 29206-3214 | 2009-07-15 |
| 1295975977 | Jason H. Cohen, Dmd, LLC | Dentist | 198 Rutledge Ave Ste 3, Charleston, SC 29403-5834 | 2009-02-20 |
| 1508029554 | Gavin L Criser | Dentist | 220 Cherokee Rd Ste B, Florence, SC 29501-5225 | 2008-07-09 |
| 1912188525 | Michael Eugene Piepenbring | Dentist | 1109 Memorial Ln Ste B, Georgetown, SC 29440-3369 | 2007-11-26 |
| 1962600437 | Michael John Pfister | Dentist | 101 Finley St, Clemson, SC 29631-1583 | 2007-07-06 |
| Find all providers with the same taxonomy | ||||
| City | PAWLEYS ISLAND |
| Zip Code | 29585 |
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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.