DENTAL WELLNESS CENTER OF FORT MILL, LLC (NPI# 1245798230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245798230 |
| Entity Type | Organization |
| Organization Name | DENTAL WELLNESS CENTER OF FORT MILL, LLC |
| Practice Address |
749 Stockbridge Dr Fort Mill SC 29708-7200 |
| Mailing Address |
Po Box 60339 Savannah GA 31420-0339 |
| Practice Telephone | 8888858492 |
| Mailing Telephone | 9129205577 |
| Mailing Fax Number | 9122263489 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MRS. CHRISTIE D LAWRENCE (CORPORATE OPERATIONS COORDINATOR) |
| Authorized Official Telephone | 9129205577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE LICENSE | DN010747 | 01 |
| GA | NPI | 1497918759 | 01 |
| Street Address |
749 STOCKBRIDGE DR |
| City | FORT MILL |
| State | SC |
| Zip Code | 29708-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861851883 | Gamble Dentalsmart PC | Dentist | 749 Stockbridge Dr, Fort Mill, SC 29708-7200 | 2016-02-18 |
| 1639717010 | Dental Wellness Center Eb5 Investment Vi LLC | Dentist | 749 Stockbridge Dr, Fort Mill, SC 29708-7200 | 2019-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089098 | Jennifer Priory O'keefe | Nurse Practitioner | 117 Stone Village Dr., Fort Mill, SC 29708 | 2019-08-26 |
| 1144790577 | Mary Kathleen Gerber | Speech-Language Pathologist | 1874 Second Baxter Crossing, Fort Mill, SC 29708 | 2018-11-28 |
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| 1861985384 | Hf Care Services LLC | Counselor | 150 B.w. Thomas Dr., 108, Fort Mills, SC 29708 | 2018-06-09 |
| 1134619802 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1826 Highway 160 W Ste 101, Fort Mill, SC 29708 | 2018-05-17 |
| 1255832549 | Lakeshore Dental Inc. | Dentist | 1200 Gold Hill Road, Fort Mill, SC 29708 | 2018-02-22 |
| 1407362338 | Smith Physical Therapy and Wellness | Physical Therapist | 2435 Highway 160 West, Suite 108, Tega Cay, SC 29708 | 2017-12-14 |
| 1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
| 1942729355 | Alexis Rose Muttillo | Specialist/Technologist | 1054 Cameron Creek Pkwy, Tega Cay, SC 29708 | 2017-09-18 |
| 1407308208 | Brenda Terry | Acupuncturist | 1171 Market Street, Ste # 112, Fort Mill, SC 29708 | 2016-10-27 |
| Find all providers in zip 29708 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715293 | Fort Mill Dobys Bridge Dental LLC | Clinic/Center | 1500 Fort Mill Pkwy #108, Fort Mill, SC 29715 | 2020-03-17 |
| 1770138505 | Core Dentistry LLC | Clinic/Center | 485 Tom Hall St. Suite 106, Fort Mill, SC 29715-1103 | 2019-08-08 |
| 1730740887 | Lotus Dental Associates LLC | Clinic/Center | 1365 Broadcloth St Ste 204, Fort Mill, SC 29715-4507 | 2019-06-27 |
| 1821255191 | Michael D. Riordan, D.m.d., P.C. | Clinic/Center | 1741 Gold Hill Rd, Suite 200, Fort Mill, SC 29708-8202 | 2008-05-22 |
| 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 |
| 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 |
| 1215585013 | Adam Carraway Dmd | Clinic/Center | 2104 Old Spartanburg Rd # A, Greer, SC 29650-2763 | 2019-08-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DENTAL WELLNESS CENTER OF FORT MILL, LLC.
| 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.