MID-CAROLINA DENTAL CARE, INC (NPI# 1073050639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073050639 |
| Entity Type | Organization |
| Organization Name | MID-CAROLINA DENTAL CARE, INC |
| Practice Address |
316 N Wheeler Ave Prosperity SC 29127 |
| Mailing Address |
2706 Main St Newberry SC 29108-4004 |
| Practice Telephone | 8033642726 |
| Mailing Telephone | 8032762090 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | DR. JOHN CAMPBELL LAKE JR. (GENERAL DENTIST) |
| Authorized Official Telephone | 8032762090 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4593 | SC | Dental Providers |
| Street Address |
316 N WHEELER AVE |
| City | PROSPERITY |
| State | SC |
| Zip Code | 29127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932675147 | Kane Vaughn Summer | Pharmacist | 101 N Main Street, Prosperity, SC 29127 | 2018-10-16 |
| 1679970255 | Heather Shealy Mccormack | Registered Nurse | 5 Seibert Rd, Prosperity, SC 29127 | 2014-11-26 |
| 1811233901 | Laura Montgomery | Pharmacist | 101 N. Main St, Prosperity, SC 29127 | 2012-12-18 |
| 1699929612 | Southside Res. Care | Community Based Residential Treatment Facility, Mental Illness | 425 S. Wheeler Ave, Pros, SC 29127 | 2008-11-05 |
| 1710964416 | William M Dixon IIi | Family Medicine | 600 N Wheeler Ave, Prosperity, SC 29127 | 2005-12-23 |
| 1376889469 | Carmen Monts | Pharmacist | 101 N. Main St., Prosperity, SC 29127 | 2012-12-18 |
| 1932491966 | Prisma Health-midlands | Community/Behavioral Health | 600 N Wheeler Ave, Prosperity, SC 29127 | 2011-05-10 |
| 1114081734 | Palmetto Health | Counselor | 600 N Wheeler Ave, The Pastoral Counseling Center of Newberry County, Prosperity, SC 29127 | 2006-12-20 |
| 1215973334 | Pugh Drug Inc | Pharmacy | 101 N Main St, Prosperity, SC 29127 | 2006-06-20 |
| 1366429987 | Lovelace Family Medicine, Pa | Clinic/Center | 600 N Wheeler Ave, Prosperity, SC 29127 | 2005-12-23 |
| Find all providers in zip 29127 | ||||
| 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 |
|---|---|---|---|---|
| 1417558057 | Roberto Selonk Buechele | Dentist | 460 Killian Rd Ste 1, Columbia, SC 29203-9742 | 2020-11-02 |
| 1396342762 | Leonard James Cochrane IIi | Dentist | 150 Bee St Apt 706, Charleston, SC 29401-5706 | 2020-10-07 |
| 1134735129 | Kidz Planet Pediatric Dentistry - Sda Pa | Dentist | 960 Ribaut Rd Ste 3, Beaufort, SC 29902-5434 | 2020-09-16 |
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1922624618 | Todays Dental At Lexington LLC | Dentist | 458 Old Cherokee Rd Ste 100, Lexington, SC 29072-6971 | 2020-06-18 |
| 1912522426 | Andrea Ballengee | Dentist | 4405 Highway 17, Murrells Inlet, SC 29576-5097 | 2020-06-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1750919718 | Destination Dental LLC | Dentist | 155 Deacon Tiller Ct Ste 101, Duncan, SC 29334-8880 | 2020-03-27 |
| 1194360024 | Affordable Dentures & Implants - Orangeburg, P.C. | Dentist | 1532 Saint Matthews Rd, Orangeburg, SC 29118-2437 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
| City | PROSPERITY |
| Zip Code | 29127 |
Please comment or provide details below to improve the information on MID-CAROLINA DENTAL CARE, INC.
| 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.