MEDICAID DENTAL PRACTICE OF EASLEY, SC, INC
NPI 1932399862
Dentist - General Practice in Easley, SC

Q: What is Medicaid Dental Practice Of Easley, Sc, Inc's specialty?

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

Active since July 26, 2007

807 S PENDLETON ST, EASLEY, SC 29640(864) 855-6530 Get Directions Write a Review

NPPES record last updated: July 26, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Medicaid Dental Practice Of Easley, Sc, Inc NPPES

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

MEDICAID DENTAL PRACTICE OF EASLEY, SC, INC (NPI 1932399862) is a healthcare organization registered as a general practice in Easley, South Carolina and active in the NPI registry since July 2007. The organization lists Shawn C Edwards, President, as its authorized official.

NPPES Registry Identity

NPI1932399862

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMEDICAID DENTAL PRACTICE OF EASLEY, SC, INC

Location Address807 S PENDLETON STEasley, SC 29640-3527

Mailing Address415 S Pendleton StEasley, SC 29640-3072 · (864) 859-0111

Phone(864) 855-6530

Organization SubpartNo

Authorized OfficialShawn C EdwardsPresident · (864) 859-0111

Enumeration DateJuly 26, 2007

✔ NPI 1932399862 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 · 3944

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.

807 S PENDLETON ST, Easley, SC 29640

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER LYNN BRITT FNP

Nurse Practitioner (Family)

807 S PENDLETON ST
EASLEY, SC 29640

Pickens County (864) 307-9212

VIKAS RAJA JAIN DMD

Dentist

807 S PENDLETON ST
EASLEY, SC 29640

Pickens County (864) 855-6563

SC URGENT CARE LLC

Clinic/Center (Urgent Care)

807 S PENDLETON ST
EASLEY, SC 29640

Pickens County (864) 307-9212

DR. LOUIS ERVIN SHEPARD DDS

Dentist (General Practice)

807 S PENDLETON ST
EASLEY, SC 29640

Pickens County (864) 859-0111

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 Medicaid Dental Practice Of Easley, Sc, Inc's NPI number?

The NPI number for Medicaid Dental Practice Of Easley, Sc, Inc is 1932399862. It was assigned to this organization in the NPPES registry on July 26, 2007.

Where is Medicaid Dental Practice Of Easley, Sc, Inc located?

Medicaid Dental Practice Of Easley, Sc, Inc is located at 807 S Pendleton St, Easley, SC 29640. The listed phone number is (864) 855-6530.

What is Medicaid Dental Practice Of Easley, Sc, Inc'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 Medicaid Dental Practice Of Easley, Sc, Inc was last updated on July 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.