1. Home
  2. Directory
  3. South Carolina
  4. Simpsonville
  5. Dentist
  6. NPI Profile

DR. SAMUEL G HOLTZCLAW JR. DMD
NPI 1508061342
Dentist - General Practice in Simpsonville, SC

Active since June 20, 2007PECOS Enrolled
308 HIGHWAY 14, SIMPSONVILLE, SC 29681(864) 963-3481(864) 963-0351 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel G Holtzclaw Jr. Dmd NPPES

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

DR. SAMUEL G HOLTZCLAW JR. DMD (NPI 1508061342) is an individual general practice provider in Simpsonville, South Carolina, licensed in South Carolina (4323) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508061342
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SAMUEL G HOLTZCLAW JR.Credential: DMD
Location Address308 HIGHWAY 14Simpsonville, SC 29681-6054
Mailing Address308 Highway 14Simpsonville, SC 29681-6054 · (864) 963-3481 · Fax (864) 963-0351
Phone(864) 963-3481
Fax(864) 963-0351
Sole ProprietorNo
Enumeration DateJune 20, 2007
Last NPPES UpdateAugust 13, 2021
NPPES CertifiedAugust 13, 2021
✔ NPI 1508061342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 4323
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.
308 HIGHWAY 14, Simpsonville, SC 29681
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel G Holtzclaw Jr. Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29681 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Samuel Holtzclaw's NPI number?

The NPI number for Samuel Holtzclaw is 1508061342. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Samuel Holtzclaw located?

Samuel Holtzclaw practices at 308 Highway 14, Simpsonville, SC 29681. The listed phone number is (864) 963-3481.

What is Samuel Holtzclaw's specialty?

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

Is Samuel Holtzclaw enrolled in Medicare?

Yes. Samuel Holtzclaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Holtzclaw was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.