SOUTHERN SMILES DENTAL STUDIO COLUMBIA LLC (NPI# 1477055481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477055481 |
| Entity Type | Organization |
| Organization Name | SOUTHERN SMILES DENTAL STUDIO COLUMBIA LLC |
| Practice Address |
160 Summit Centre Dr Columbia SC 29229-7612 |
| Mailing Address |
3106 Reidville Rd Spartanburg SC 29301-5644 |
| Practice Telephone | 8036997224 |
| Practice Fax Number | 8037360985 |
| Mailing Telephone | 8036997224 |
| Mailing Fax Number | 8037360985 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Authorized Official Name | MRS. MELISSA DENISE PITTMAN (OFFICE) |
| Authorized Official Telephone | 8645767464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
160 SUMMIT CENTRE DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29229-7612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730737578 | Value Dental Carolinas Columbia LLC | Dentist | 160 Summit Centre Dr, Columbia, SC 29229-7612 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
| 1275166761 | Isis Marie Pearson | Behavior Technician | 4611 Hardscrabble Rd, #239, Columbia, SC 29229 | 2020-02-13 |
| 1083254338 | Lintiya Mccleary | Behavior Technician | 1048 Wildewood Center Dr, Columbia, SC 29229 | 2020-01-14 |
| 1538702873 | Genuine Care LLC | Home Health Aide | 112 Denby Cir, Columbia, SC 29229 | 2019-10-18 |
| 1588218028 | John Calvin Thorne Iv | Pharmacist | 175 Forum Drive, Columbia, SC 29229 | 2019-08-01 |
| 1801303839 | Eye Associates of Columbia Inc | Clinic/Center | 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 | 2017-12-28 |
| 1508385469 | Palmetto Community Group | Counselor | 402 Nautique Circle, Columbia, SC 29229 | 2017-09-12 |
| 1245754472 | Fernandez Interpreter & Translator Solutions | Interpreter | 140 Rivendale Drive, Columbia, SC 29229 | 2017-07-30 |
| 1770935744 | Yasmine Gamil Gabr | Family Medicine | 103 Summit Centre Drive, Columbia, SC 29229 | 2016-07-01 |
| 1386095164 | Mack's Loving Care | Home Health | 55 Crooked Creek Place, Columbia, SC 29229 | 2016-06-23 |
| Find all providers in zip 29229 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444740 | Ressel Family Dentistry LLC | Clinic/Center | 1 E Broadway Ste A, Columbia, MO 65203-4205 | 2020-10-16 |
| 1578175733 | Columbia Dental LLC | Clinic/Center | 846 Lancaster Ave, Columbia, PA 17512-2206 | 2020-08-19 |
| 1386256931 | B. Casey Crafton Dds Ms PC | Clinic/Center | 10380 Old Columbia Rd, Columbia, MD 21046-1882 | 2020-08-17 |
| 1497307730 | Robert C Wilhite Jr Dds Pllc | Clinic/Center | 1300 Hatcher Ln Ste 1, Columbia, TN 38401-3554 | 2019-07-16 |
| 1609335066 | Dentistry for Children of Maryland, LLC | Clinic/Center | 8600 Snowden River Pkwy Ste 302, Columbia, MD 21045-1985 | 2019-03-15 |
| 1407314404 | Dental Wellness Center of Irmo, LLC | Clinic/Center | 2724 N Lake Dr Ste 304, Columbia, SC 29212-8733 | 2019-03-08 |
| 1386101459 | Columbia Dental Health Clinic | Clinic/Center | 2750 Laurel St Ste 202, Columbia, SC 29204-2024 | 2019-02-26 |
| 1821580622 | Columbia Smiles Downtown | Clinic/Center | 1310 Lady St Ste 600, Columbia, SC 29201-3327 | 2018-06-06 |
| 1427548353 | Simply Smile Pa | Clinic/Center | 7457 Patterson Rd Ste 107, Columbia, SC 29209-0710 | 2018-05-16 |
| 1417462904 | Maryland Smile Center | Clinic/Center | 9520 Berger Rd Ste 303-305, Columbia, MD 21046-1501 | 2017-12-06 |
| 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.