DR. CARL LENEAR HENDERSON (NPI# 1003941204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003941204 |
| Entity Type | Individual |
| Full Name | DR. CARL LENEAR HENDERSON |
| Credential | DMD |
| Practice Address |
1217 South Main St Correspondence Only Pob 1193 Greenwood SC 29646 |
| Mailing Address |
Po Box 1193 Greenwood SC 29648 |
| Practice Telephone | 8642292224 |
| Mailing Telephone | 8642292224 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | SC2533 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 992533 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508286105 | Carl Wayne Henderson | Case Manager/Care Coordinator | 1303 W. Parkway, Compton, CA 90220-5030 | 2014-04-22 |
| 1427237932 | Carl D Henderson | Pharmacist | 27 Round Lake Rd, Ballston Lake, NY 12019-1129 | 2007-10-31 |
| 1235372574 | Carl Star Henderson | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2009-04-16 |
| 1952333080 | Carl Henderson | Physical Therapist | 6005 Park Ave, Suite 802, Memphis, TN 38119-5202 | 2006-07-07 |
| Street Address |
1217 SOUTH MAIN ST CORRESPONDENCE ONLY POB 1193 |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508483611 | Monica Vance | Dentist | 1711 S State Road 135 Ste B, Greenwood, IN 46143-6481 | 2020-07-06 |
| 1821650284 | Lindsay Kay Fuqua | Dentist | 1302 Sc-72 Business, Greenwood, SC 29649 | 2019-07-05 |
| 1881152585 | Center Grove Dental, LLC | Dentist | 4800 W Smith Valley Rd Ste K, Greenwood, IN 46142-9195 | 2019-03-12 |
| 1184174815 | Dr. Subodh Gurung | Dentist | 506 Bypass 72 Nw, Greenwood, SC 29649-1300 | 2016-10-05 |
| 1376908160 | Jeffrey Golder D.d.s. P.C. | Dentist | 4800 W Smith Valley Rd, Ste K, Greenwood, IN 46142-9198 | 2015-12-21 |
| 1558742759 | Seema Pillai | Dentist | 704 S State Road 135 Ste A, Greenwood, IN 46143-6501 | 2015-06-12 |
| 1053710202 | Garrett Fiorenza | Dentist | 438 S Emerson Ave Ste 230, Greenwood, IN 46143-1948 | 2014-08-13 |
| 1962849117 | Jillian Helene Samela | Dentist | 1678 Fry Rd Ste B, Greenwood, IN 46142-1176 | 2013-05-29 |
| 1437408630 | Mark Allan Vorhies | Dentist | 1678 Fry Road, Suite A, Greenwood, IN 46142-1175 | 2012-09-04 |
| 1700172509 | Priya Patel | Dentist | 601 Library Park Dr Ste B-1, Greenwood, IN 46142-1562 | 2011-06-21 |
| Find all providers in GREENWOOD | ||||
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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.