DENTAL TEAM OF SUMTER, P.A. (NPI# 1588792998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588792998 |
| Entity Type | Organization |
| Organization Name | DENTAL TEAM OF SUMTER, P.A. |
| Practice Address |
5635 Broad St Ext Sumter SC 29154 |
| Practice Telephone | 8034948466 |
| Practice Fax Number | 8034948472 |
| Mailing Telephone | 8034948466 |
| Mailing Fax Number | 8034948472 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. R CAPERS LEE (GENERAL DENTIST) |
| Authorized Official Telephone | 8034948466 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2810 | SC | Dental Providers |
| Street Address |
5635 BROAD ST EXT |
| City | SUMTER |
| State | SC |
| Zip Code | 29154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774346 | George Effah Osei | Family Medicine | Tandem Health, 1278 North Lafayette Drive, Sumter, SC 29154 | 2020-06-16 |
| 1245700855 | Good Samaritan Way | Home Health | 3340 Laurderdale Lane, Sumter, SC 29154 | 2018-11-27 |
| 1255700175 | Sherry Elder | Nurse Practitioner | 2065 Mccrays Mill Road, Ltc Health Solutions, Sumter, SC 29154 | 2015-09-21 |
| 1528454253 | Royal Homecare & Healthcare Staffing, LLC | Nursing Care | 1199 Floyd Dr, Sumter, SC 29154 | 2015-04-09 |
| 1891947305 | Therapy 4 Kids LLC | Physical Therapist | 3265 Tamarah Way, Sumter, SC 29154 | 2008-10-15 |
| 1326254046 | Lisa Jeffus Smith | Physician Assistant | 1761 Pinewood Road, Agape Physicians Care, Sumter, SC 29154 | 2007-05-16 |
| 1992893465 | Robert Capers Lee | Dentist | 5635 Broad Street Ext, Sumter, SC 29154 | 2006-10-10 |
| 1225363336 | Arian L. Ray Dds Pa | Dentist | 625 Constitution Drive, Sumter, SC 29154 | 2009-10-07 |
| 1912146523 | Sarah E Pope | Behavioral Analyst | 2580 Lindo Court, Sumter, SC 29154 | 2009-02-05 |
| 1467691071 | Tamara Russell | Behavioral Analyst | 2580 Lindo Court, Sumter, SC 29154 | 2009-02-05 |
| Find all providers in zip 29154 | ||||
| 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 |
|---|---|---|---|---|
| 1336761097 | Southern Oak Dental, LLC | Dentist | 1322 Broad St Unit 90, Sumter, SC 29150-1984 | 2020-05-15 |
| 1447746706 | John Curtis Terrell Lewis | Dentist | 2590 Tahoe Dr, Sumter, SC 29150-1860 | 2018-07-10 |
| 1891154803 | Gamble Dentalsmart PC | Dentist | 1322 Broad St, Unit 90, Sumter, SC 29150-1984 | 2016-02-18 |
| 1992162317 | Wesmark Dental Health Center | Dentist | 45 W Wesmark Blvd, Sumter, SC 29150-1955 | 2016-01-16 |
| 1235391665 | Sylvester Adu Boahene | Dentist | 1121 Broad St Ste 46, Sumter, SC 29150-1902 | 2008-06-26 |
| 1184849283 | Russell Charles Hurst Jr. | Dentist | 40 Wesmark Ct, Sumter, SC 29150-1996 | 2007-04-16 |
| 1659494565 | Todd A Tidwell | Dentist | 1121 Broad Street, Suite 46, Sumter, SC 29150 | 2007-04-06 |
| 1265582811 | Timothy E Garrity | Dentist | 2545 Tahoe Dr, Sumter, SC 29150-1861 | 2007-01-12 |
| 1366592917 | William T Noonan Jr. | Dentist | 2590 Tahoe Drive, Sumter, SC 29150 | 2007-01-12 |
| 1922164706 | Grover Edens Rabon | Dentist | 669b West Wesmark Blvd, Sumter, SC 29150 | 2006-12-28 |
| Find all providers in SUMTER | ||||
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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.