DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C. (NPI# 1043827314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043827314 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C. |
| Practice Address |
1767 Heckle Blvd Ste 102 Rock Hill SC 29732-1878 |
| Practice Telephone | 8034549967 |
| Mailing Telephone | 8034549967 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Wedgewood Square Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619423449 | Dental Professionals of South Carolina, P.C. | Dentist | 209 Latitude Lane, Clover, SC 29710 | 2016-08-31 |
| 1053865972 | Dental Professionals of South Carolina, P.C. | Dentist | 101 Rice Bent Way Ste 4, Columbia, SC 29229-6850 | 2016-08-09 |
| 1205389681 | Dental Professionals of South Carolina, P.C. | Dentist | 460 Killian Road, Unit 1, Columbia, SC 29203 | 2016-08-02 |
| 1215300777 | Dental Professionals of South Carolina, P.C. | Dentist | 6876 Saint Andrews Rd, Columbia, SC 29212-1403 | 2015-11-05 |
| 1265777353 | Dental Professionals of South Carolina, P.C. | Dentist | 131 Harbison Blvd Ste G, Columbia, SC 29212-2226 | 2012-11-30 |
| 1336348390 | Dental Professionals of South Carolina, P.C. | Clinic/Center | 1025 W. Meeting St, Suite 100, Lancaster, SC 29720 | 2007-07-11 |
| 1942668199 | Dental Professionals of South Carolina, P.C. | Dentist | 621 Chatham Ave, Columbia, SC 29205-2734 | 2016-02-03 |
| 1013302785 | Dental Professionals of South Carolina, P.C. | Dentist | 303 Ashby Park Ln, Greenville, SC 29607-6903 | 2015-03-31 |
| 1154714079 | Dental Professionals of South Carolina, P.C. | Dentist | 9360 Two Notch Rd, Columbia, SC 29223-6416 | 2015-03-17 |
| 1376932640 | Dental Professionals of South Carolina, P.C. | Dentist | 202 N Mcduffie St, Anderson, SC 29621-5623 | 2015-01-09 |
| Street Address |
1767 HECKLE BLVD STE 102 |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-1878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558852384 | Affinity Health Center - Dental | Dentist | 500 Lakeshore Parkway, Rock Hill, SC 29730 | 2018-05-29 |
| 1295258762 | Margaret East Tindall | Dentist | 454 Anderson Rd S Ste 23, Rock Hill, SC 29730-3392 | 2017-07-17 |
| 1538696703 | Ivan Alexander Carrion | Dentist | 2427 Cross Pointe Dr Ste 101, Rock Hill, SC 29730 | 2017-05-17 |
| 1730629627 | Riverwalk Smile Dentistry, LLC | Dentist | 998 Riverwalk Pkwy, Suite 203, Rock Hill, SC 29730-0116 | 2017-02-27 |
| 1962877357 | Benjamin L Areheart Dmd LLC | Dentist | 1562 Constitution Blvd Ste 101, Rock Hill, SC 29732-3540 | 2015-12-10 |
| 1487037453 | Spencer Coombs | Dentist | 1758 Farrow Dr, Rock Hill, SC 29732-7760 | 2015-07-08 |
| 1669874053 | A Healthy Smile | Dentist | 1658 Cranium Dr, Suite Number 106, Rock Hill, SC 29732-3506 | 2014-09-17 |
| 1457691255 | Kehinde Toyin Ajayi | Dentist | 1417 Riverchase Blvd Ste 104, Rock Hill, SC 29732 | 2013-02-15 |
| 1811263874 | William D. Cranford, Jr., Dmd | Dentist | 1721 Ebenezer Rd., Suite 135, Rock Hill, SC 29732-1119 | 2012-03-23 |
| 1295005130 | Charles William Culp | Dentist | 1334 Ebenezer Rd, Rock Hill, SC 29732-2337 | 2012-01-10 |
| Find all providers in ROCK HILL | ||||
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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.