DR. GREGG WALKER MCKENZIE (NPI# 1427029511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427029511 |
Entity Type | Individual |
Full Name | DR. GREGG WALKER MCKENZIE |
Credential | DDS |
Practice Address |
124 Alpine Cir. Columbia SC 29223 |
Practice Telephone | 8037880900 |
Practice Fax Number | 8037880637 |
Mailing Telephone | 8037880900 |
Mailing Fax Number | 8037880637 |
Enumeration Date | 2006-01-28 |
Last Update Date | 2007-09-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0300X |
Dentist Specialization: Periodontics |
3175 | LA | Dental Providers |
N | 1223P0300X |
Dentist Specialization: Periodontics |
DN008953 | GA | Dental Providers |
Y | 1223P0300X |
Dentist Specialization: Periodontics |
SC2339 | SC | Dental Providers |
Street Address |
124 ALPINE CIR. |
City | COLUMBIA |
State | SC |
Zip Code | 29223 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
Find all providers in zip 29223 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376814723 | Nabil Beaini | Dentist | 201 W Broadway Ste 5a, Columbia, MO 65203-3842 | 2012-01-17 |
1811126261 | Keyla Ivette Torres | Dentist | 6395 Dobbin Rd Ste 208, Columbia, MD 21045-4759 | 2009-07-07 |
1578688230 | Stephen E Gossett | Dentist | 3000 Two Notch Rd., Small Smiles Dental Centers of Columbia, LLC, Columbia, SC 29204 | 2007-03-20 |
1518009026 | Donald William Hogan | Dentist | 7007 Brookfield Rd, Columbia, SC 29223-2212 | 2007-02-12 |
1609945674 | Russell Leon Harrison | Dentist | 33 E Broadway, Ste. 290, Columbia, MO 65203-4207 | 2006-11-06 |
1134211261 | William Cleveland James Jr. | Dentist | 2120 N Beltline Blvd, Columbia, SC 29204-3905 | 2006-09-28 |
1598856353 | South Carolina Periodontology Pa | Dentist | 2120 N Beltline Boulevard, Columbia, SC 29204-3905 | 2006-09-27 |
1700800497 | Sohee Kim Park | Dentist | 456 Clemson Rd, Columbia, SC 29229-7925 | 2006-07-26 |
1548282130 | Columbia Periodontal Assoicates, LLC | Dentist | 3527 Bush River Rd, Columbia, SC 29210-4805 | 2006-07-24 |
1497746796 | James Lewis Dickson | Dentist | 104 Berrywood Dr, Columbia, TN 38401-6408 | 2005-11-04 |
Find all providers in COLUMBIA |
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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.