DENTAL PROFESSIONALS OF SC, PC (NPI# 1780012591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780012591 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF SC, PC |
| Other Organization Name | COMPLETE DENTAL CARE OF EASLEY |
| Practice Address |
5075 Calhoun Memorial Hwy Easley SC 29640-3837 |
| Practice Telephone | 8648104231 |
| Mailing Telephone | 8648104231 |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |
| Authorized Official Name | JENNIFER HOELSCHER (INSURANCE/CREDENTIALING) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF SC, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Complete Dental Care of Easley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467835942 | Dental Professionals of Sc, PC | Dentist | 132 Mcneely Rd, Powdersville, SC 29673-9430 | 2015-07-02 |
| 1306248422 | Dental Professionals of Sc, PC | Dentist | 1586 Hwy 17n, North Myrtle Beach, SC 29582 | 2014-09-19 |
| 1477964112 | Dental Professionals of Sc, PC | Dentist | 3500 Clemson Blvd, Anderson, SC 29621-1313 | 2014-05-15 |
| 1497172076 | Dental Professionals of Sc, PC | Dentist | 1751 Pleasant Road Suite101, Fort Mill, SC 29708 | 2014-03-21 |
| 1386071181 | Dental Professionals of Sc, PC | Dentist | 1494 West Wade Hampton Blvd, Suite D, Greer, SC 29650-1129 | 2013-10-11 |
| 1497166227 | Dental Professionals of Sc, PC | Dentist | 5551 Sunset Blvd, Lexington, SC 29072-9132 | 2014-05-14 |
| Street Address |
5075 CALHOUN MEMORIAL HWY |
| City | EASLEY |
| State | SC |
| Zip Code | 29640-3837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902259864 | Kari Bauermeister | Dentist | 5075 Calhoun Memorial Hwy, Easley, SC 29640-3837 | 2016-07-15 |
| 1356757439 | Christen Bianchi | Dentist | 5075 Calhoun Memorial Hwy, Easley, SC 29640-3837 | 2014-07-09 |
| 1821404419 | Silas Crisp | Dentist | 5075 Calhoun Memorial Hwy, Easley, SC 29640-3837 | 2014-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1417309451 | Ashby Park Pediatric Dentistry Easley | Dentist | 708 North A Street, Easley, SC 29640 | 2016-07-01 |
| 1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
| 1538593017 | Baptist Easley Hospital | Clinic/Center | 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 | 2013-09-03 |
| 1942507173 | Joanne Mason Wilkinson | Occupational Therapist | 1807a East Main St, Easley, SC 29640 | 2011-02-24 |
| 1861793911 | Ark Pharmacy Services LLC | Pharmacy | 5119- A Calhoun Memorial Hwy, Easley, SC 29640 | 2010-11-05 |
| 1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
| 1508030503 | Jean Claire Palmour | Massage Therapist | 404 South Fifth Street, Jj & Company Salon & Spa, Easley, SC 29640 | 2008-04-22 |
| 1760685143 | Cannon Memorial Hospital | Family Medicine | 111 W. Roper Rd., Easley, SC 29640 | 2007-06-06 |
| 1942419171 | William Kent Hammond | Dentist | 298 Enterprise Dr, Easley, SC 29640 | 2007-05-22 |
| Find all providers in zip 29640 | ||||
| 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 |
|---|---|---|---|---|
| 1750949715 | Sara Portwood | Dentist | 9 Southern Center Ct Ste B, Easley, SC 29642-1533 | 2019-06-04 |
| 1780159129 | Pasui Family Dentistry - Sda LLC | Dentist | 2101 Powdersville Rd, Easley, SC 29642-8920 | 2018-10-12 |
| 1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
| 1225242977 | Peter C Holsen | Dentist | 1617 E Main St, Easley, SC 29640-3791 | 2007-05-10 |
| 1427279843 | Heather Heaton Barker | Dentist | 701 Brushy Creek Rd, Easley, SC 29642-2201 | 2007-05-01 |
| 1598881211 | Glenn R. Edens | Dentist | 104 Franklin Square Way, Easley, SC 29642-3715 | 2007-03-22 |
| 1215061106 | Willis Ely Hawkins IIi | Dentist | 105 Fleetwood Dr, Easley, SC 29640-2019 | 2007-03-15 |
| 1689723678 | Stephen W. Durham | Dentist | 223 Dayton School Rd, Suite 103, Easley, SC 29642-1447 | 2007-01-09 |
| 1063579282 | David Brian Beemer | Dentist | 103 Wyatt Ave, Easley, SC 29640-2952 | 2007-01-03 |
| 1437219771 | Tracy Al Barnes | Dentist | 123 E 1st Ave, Easley, SC 29640-3036 | 2006-12-09 |
| 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.