CAROLINA OAKS CLEMSON LLC (NPI# 1225466592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225466592 |
Entity Type | Organization |
Organization Name | CAROLINA OAKS CLEMSON LLC |
Practice Address |
1000 College Ave Clemson SC 29631-2804 |
Practice Telephone | 8646546700 |
Mailing Telephone | 8646546700 |
Enumeration Date | 2013-10-24 |
Last Update Date | 2013-10-24 |
Authorized Official Name | DR. MARC DAVID WORKMAN (MEMBER) |
Authorized Official Telephone | 8646546700 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
3914 | SC | Ambulatory Health Care Facilities |
Street Address |
1000 COLLEGE AVE |
City | CLEMSON |
State | SC |
Zip Code | 29631-2804 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154779395 | Carolina Oaks Dental Care of Clemson, LLC | Dentist | 1000 College Ave, Clemson, SC 29631-2804 | 2016-05-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063059038 | James Ryan Small | Specialist/Technologist | 212 Vista Cir, Clemson, SC 29631 | 2019-12-09 |
1811559883 | Cheyenne Leigh Reynolds | Specialist/Technologist | 100 Reeves Way, Clemson, SC 29631 | 2019-07-01 |
1912474792 | Andrea Bagley Stokes | Physical Therapist | 500-1 Old Greenville Hwy # 1, Clemson, SC 29631 | 2018-10-30 |
1114426178 | Intouch Pharmacy LLC | Pharmacy | 105 Wall Street, Suite 10b, Clemson, SC 29631 | 2018-02-06 |
1881117695 | Community Pharmacy Group, Inc. | Pharmacy | 143 Thomas Green Blvd, Clemson, SC 29631 | 2017-07-24 |
1295286276 | James Matthew Mills | Occupational Therapist | 101 Chapman Rd, Clemson, SC 29631 | 2016-10-14 |
1558769141 | Virginia Bridges Gaulin | Counselor | 209 Pendleton Rd Ste C, Clemson, SC 29631 | 2014-12-12 |
1437580628 | Amanda Martin Eubanks | Speech-Language Pathologist | 101 Chapman Road Suite 202, Clemson, SC 29631 | 2013-12-12 |
1437408499 | Fort Hill Family Dentistry, Pa | Clinic/Center | 124 Strode Circle, Clemson, SC 29631 | 2012-09-06 |
1942511738 | Theresa S Ritter | Counselor | 386 College Avenue, Suite A, Clemson, SC 29631 | 2010-06-25 |
Find all providers in zip 29631 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437408499 | Fort Hill Family Dentistry, Pa | Clinic/Center | 124 Strode Circle, Clemson, SC 29631 | 2012-09-06 |
1063645729 | John E. Ross, IIi, Dmd | Clinic/Center | 602 College Ave Ste 1, Clemson, SC 29631-2823 | 2009-08-28 |
1386859262 | Upstate Periodontics, Pa | Clinic/Center | 214 Frontage Rd, Clemson, SC 29631-1642 | 2007-05-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386613 | Grinville Dentistry LLC | Clinic/Center | 114 Laurens Rd Ste A, Greenville, SC 29607-1826 | 2020-11-06 |
1699380923 | Beaufort Center for Dentistry LLC | Clinic/Center | 1264 Ribaut Rd Ste 401, Beaufort, SC 29902-6129 | 2020-09-14 |
1154934354 | Spectrum Integrative Dentistry | Clinic/Center | 2131 Woodruff Rd Ste 1100, Greenville, SC 29607-5934 | 2020-08-26 |
1992316053 | Childrens Dentistry of Greenville | Clinic/Center | 410 Pelham Rd Ste A, Greenville, SC 29615-3502 | 2020-08-12 |
1457978207 | Dash Dental LLC | Clinic/Center | 310 Business Pkwy Ste D, Greer, SC 29651-7118 | 2020-06-28 |
1851916332 | Palmetto Advanced Dentistry | Clinic/Center | 2021 Bridgemill Dr Ste 100, Indian Land, SC 29707-9211 | 2020-06-10 |
1326669714 | River Landing Dentistry At Nexton LLC | Clinic/Center | 200 Brighton Park Blvd Ste A, Summerville, SC 29486-3000 | 2020-04-27 |
1730715293 | Fort Mill Dobys Bridge Dental LLC | Clinic/Center | 1500 Fort Mill Pkwy #108, Fort Mill, SC 29715 | 2020-03-17 |
1215570643 | Pearl Dental Studio | Clinic/Center | 117 Batesville Rd Ste 202, Simpsonville, SC 29681-4815 | 2019-10-17 |
1497303770 | Holy City Dentistry LLC | Clinic/Center | 862 Folly Rd Ste 110, Charleston, SC 29412-3452 | 2019-08-29 |
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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.