Dentist in EDGEFIELD, SC
Last Updated on : May 27,2015
114 KERSHAW DENTAL, PC is a Dentist in EDGEFIELD, United States with a focus in General Practice .
1043699713 is NPI number of 114 KERSHAW DENTAL, PC.
114 KERSHAW DENTAL, PC's primary taxonomy code based on NPI Lookup is 1223G0001X with license number . This taxonomy code refers to Dentist.
114 KERSHAW DENTAL, PC current practice location address is PO BOX 330, EDGEFIELD, SC.
You can also correspond with 114 KERSHAW DENTAL, PC through mail at mailing address 114 E HILTON ST, KERSHAW, SC, United States. Mailing address contact number is 803-475-6052.
The enumeration date of 114 KERSHAW DENTAL, PC is 27-May-2015. The provider is registered as an Organization and the NPI record was last updated 8 years ago. The authorized official of 114 KERSHAW DENTAL, PC is MATTHEW COOK (Owner). MATTHEW COOK can be reached at 8034791795.Basic NPI information of 114 KERSHAW DENTAL, PC (NPI 1043699713) is provided below.
Name | 114 KERSHAW DENTAL, PC |
---|---|
National Provider Id (NPI) | 1043699713 |
Entity Type | Organization |
Practice Address | PO BOX 330,
EDGEFIELD, SC, United States |
Practice Telephone | |
Practice Fax Number | |
Mailing Address | 114 E HILTON ST ,
KERSHAW, SC, United States |
Mailing Telephone | 803-475-6052 |
Mailing Fax Number | |
Enumeration Date | 27-May-2015 |
Last Updated Date | 27-May-2015 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | Dentist, 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.
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1043699713 | 114 KERSHAW DENTAL, PC | Dentist, General Practice | PO BOX 330,
EDGEFIELD, SC, United States |
27-May-2015 |
1740989219 | A & C TAXI LLC | Taxi | 50 PROMISED LAND RD,
EDGEFIELD, SC, United States |
23-Feb-2023 |
1396399424 | AMARA LLC | 7442 STRAGGLER CIR,
COLORADO SPRINGS, CO, United States |
26-Jul-2019 | |
1417122458 | APSF SENIORS BUSINESS GROUP LLP | Non-emergency Medical Transport (VAN) | 187 FAIR HAVEN WAY,
CHAPIN, SC, United States |
29-Apr-2008 |
1114108735 | BANKS PHARMACY | Clinic/Center, Health Services | 100 RIDGE MEDICAL PLAZA,
SUITE 101 EDGEFIELD, SC, United States |
26-Nov-2007 |
1285114314 | KATERRA TAJUAN BASKIN | Counselor, Addiction (Substance Use Disorder) | 1547 PARKWAY,
GREENWOOD, SC, United States |
17-Aug-2018 |
1164426938 | BLOCKER & TIMMERMAN DRUG CO.,INC. | Pharmacy | 300 MAIN ST,
EDGEFIELD, SC, United States |
09-Jun-2005 |
1023560620 | REX BLOCKER | General Practice | 501 GARY HILL RD,
EDGEFIELD, SC, United States |
29-Oct-2016 |
1750754271 | KEELIE L BREWER | Registered Nurse, Administrator | 1325 SPRING ST,
GREENWOOD, SC, United States |
05-Nov-2015 |
1205197019 | ROBERT BRIGHTHARP | Family Medicine | 155 RIDGE MEDICAL PLAZA,
SUITE 102 EDGEFIELD, SC, United States |
07-Jun-2012 |
1699192096 | LATASHA BROOMFIELD | Counselor, Professional | 409 SIMPKINS ST,
EDGEFIELD, SC, United States |
24-Mar-2014 |
1699826743 | WILLIAM C. BRUKER | Radiology, Body Imaging | 325 COLLETON AVE,
AIKEN, SC, United States |
16-Jan-2007 |
1952318628 | RANSOM L. BRYAN | Dentist, General Practice | 81 STONEHENGE CIR,
EDGEFIELD, SC, United States |
02-Aug-2006 |
1619030327 | JACK RUSSELL CANNON | Radiology, Diagnostic Radiology | 3510 AUGUSTUS RD,
AIKEN, SC, United States |
18-Dec-2006 |
1255525648 | CAROLINA YOUTH COMBAT SYSTEMS | Counselor | 133 NICHOLSON RD,
TRENTON, SC, United States |
29-Aug-2007 |
1134478225 | MARVIN GENE CASON | Pharmacist | 230 APPLE SQUARE PLAZA,
EDGEFIELD, SC, United States |
05-Sep-2012 |
1508325739 | CHANGING FACES INC. | Case Manager/Care Coordinator | 31 QUAIL RUN,
EDGEFIELD, SC, United States |
18-Mar-2019 |
1487755799 | CAROLE ANN CHIDLEY | Counselor, Mental Health | 1547 PARKWAY,
SUITE 100 GREENWOOD, SC, United States |
26-Sep-2006 |
1598403305 | MARGARET BENTLEY CHILDRESS | Speech-Language Pathologist, | 317 RAINSFORD ROAD,
EDGEFIELD, SC, United States |
23-May-2022 |
1114248150 | MATTHEW WAYNE COOK | Dentist, General Practice | PO BOX 330,
EDGEFIELD, SC, United States |
14-Jun-2010 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1043699713 is the NPI number of 114 KERSHAW DENTAL, PC.
Where is 114 KERSHAW DENTAL, PC located?114 KERSHAW DENTAL, PC is located at PO BOX 330, EDGEFIELD, SC.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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