VICTORY DENTAL CENTER (NPI# 1316331127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316331127 |
| Entity Type | Organization |
| Organization Name | VICTORY DENTAL CENTER |
| Practice Address |
9787 Charlotte Hwy Ste 201 Indian Land SC 29707-5511 |
| Practice Telephone | 8035472280 |
| Practice Fax Number | 8035474208 |
| Mailing Telephone | 8035472280 |
| Mailing Fax Number | 8035474208 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | CEDRICK MCDONALD (OWNER) |
| Authorized Official Telephone | 8035472280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 4382 | SC | Managed Care Organizations |
| Street Address |
9787 CHARLOTTE HWY STE 201 |
| City | INDIAN LAND |
| State | SC |
| Zip Code | 29707-5511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535844 | Anomaly Bodywork & Wellness Center, LLC | Massage Therapist | 4068 Flats Main Street, Apt 100, Indian Land, SC 29707 | 2020-10-15 |
| 1164034369 | Renu Kapoor Virdi | Dentist | 9709 Redstone Dr, Ste 500, Indian Land, SC 29707 | 2020-08-19 |
| 1205467420 | Brian Keith Sutton | Physical Therapist | 2021 Bridgemill Dr, Ste 106, Indian Land, SC 29707 | 2020-01-27 |
| 1215575774 | Doby's Bridge Dentistry | Dentist | 4174 Dobys Brige Road Ste 100, Indian Land, SC 29707 | 2019-12-16 |
| 1346895141 | Redstone Modern Dentistry, PC | Dentist | 9709 Redstone Dr., Suite 500, Indian Land, SC 29707 | 2019-08-08 |
| 1396228698 | Daniel Allen | Massage Therapist | 4068 Flats Main St, Apt 100, Indian Land, SC 29707 | 2018-09-12 |
| 1598269409 | Dawn K Beatty-batten | Occupational Therapy Assistant | The Blake At Edgewater, 1099 Edgewater Corporate Parkway, Indian Land, SC 29707 | 2018-03-23 |
| 1366940959 | Kds Consultants, LLC | Family Medicine | 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707 | 2018-01-29 |
| 1093227464 | Ivision Associates LLC | Optometrist | 9700 Red Stone Drive Suite 300, Indian Land, SC 29707 | 2017-10-25 |
| 1396274742 | Carson Tyler Mcginn | Specialist/Technologist | 8690 Henry Harris Rd., Fort Mill, SC 29707 | 2017-06-08 |
| Find all providers in zip 29707 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1568906394 | Behavioral Innovations Therapy, LLC | Preferred Provider Organization | 328 Glen St, Summerville, SC 29483-4653 | 2016-12-13 |
| 1295285153 | A&t Care | Preferred Provider Organization | 207 W Sumter St, Kershaw, SC 29067-1422 | 2016-10-04 |
| 1124473228 | Griswold Home Care | Preferred Provider Organization | 120 Springhall Dr Ste F, Goose Creek, SC 29445-5335 | 2016-04-27 |
| 1568830149 | J & C Mobile, LLC | Preferred Provider Organization | 333 Whites Creek Rd, 333 Whites Creek Road, Georgetown, SC 29440-4544 | 2015-09-12 |
| 1982096509 | Loving Hands of Sc | Preferred Provider Organization | 918 Poinsett Hwy Ste D, Greenville, SC 29609-4400 | 2015-02-19 |
| 1962809509 | Cherokee Pediatrics | Preferred Provider Organization | 1419 N Limestone St, Gaffney, SC 29340-4748 | 2014-11-25 |
| 1366855876 | Godly Ambition of New Generation | Preferred Provider Organization | 3501 E Winlark Dr, Florence, SC 29506-8637 | 2014-06-03 |
| 1497189930 | Natural Home Care, LLC | Preferred Provider Organization | 203 W Main St Ofc G-6, Lexington, SC 29072-2633 | 2013-09-01 |
| 1477831063 | Angelhands of The Upstate | Preferred Provider Organization | 150 Hendrix Dr, Boiling Springs, SC 29316-8385 | 2011-07-29 |
| 1942508742 | Carolina Urgent and Family Care | Preferred Provider Organization | 1130 Highway 9 Bypass W, Lancaster, SC 29720 | 2011-03-03 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN LAND |
| Zip Code | 29707 |
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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.