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EARL BOSTICK,SR. D.M.D.
NPI 1316157704
Dentist - General Practice in Ridgeland, SC

Active since May 23, 2007
10832 JACOB SMART BLVD., RIDGELAND, SC 29936(843) 726-5711 Get Directions Write a Review

NPPES record last updated: October 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Earl Bostick,sr. D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EARL BOSTICK,SR. D.M.D. (NPI 1316157704) is a healthcare organization registered as a general practice in Ridgeland, South Carolina and active in the NPI registry since May 2007. The organization lists Earl Bostick, Owner, as its authorized official.

NPPES Registry Identity

NPI1316157704
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEARL BOSTICK,SR. D.M.D.
Location Address10832 JACOB SMART BLVD.Ridgeland, SC 29936-2260
Mailing AddressPo Box 2260Ridgeland, SC 29936-2638 · (843) 726-5711 · Fax (843) 726-5711
Phone(843) 726-5711
Organization SubpartNo
Authorized OfficialEarl BostickOwner · (843) 726-5711
Enumeration DateMay 23, 2007
Last NPPES UpdateOctober 10, 2011
✔ NPI 1316157704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
10832 JACOB SMART BLVD., Ridgeland, SC 29936
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Other Identifiers 1

MedicaidZA9986SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Earl Bostick,sr. D.M.D.'s NPI number?

The NPI number for Earl Bostick,sr. D.M.D. is 1316157704. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Earl Bostick,sr. D.M.D. located?

Earl Bostick,sr. D.M.D. is located at 10832 Jacob Smart Blvd., Ridgeland, SC 29936. The listed phone number is (843) 726-5711.

What is Earl Bostick,sr. D.M.D.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Earl Bostick,sr. D.M.D. was last updated on October 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.