LORI CHRISTINA DOMINGUEZ (NPI# 1558341479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558341479 |
| Entity Type | Individual |
| Full Name | LORI CHRISTINA DOMINGUEZ |
| Credential | DDS |
| Practice Address |
575 Springcrest Dr Suite A Fort Mill SC 29715-7324 |
| Practice Telephone | 8035471888 |
| Practice Fax Number | 8035478533 |
| Mailing Telephone | 8035471888 |
| Mailing Fax Number | 8035478533 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2012-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3850 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 2X3850 | 05 | |
| NC | 5900546 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537677 | Lori Elizabeth Dominguez | Registered Nurse | 2 W 32nd St Ste 502, New York, NY 10001-0595 | 2020-08-08 |
| Street Address |
575 SPRINGCREST DR SUITE A |
| City | FORT MILL |
| State | SC |
| Zip Code | 29715-7324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275605610 | Alicia January Walker | Dentist | 575 Springcrest Dr, Suite A, Fort Mill, SC 29715-7324 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590278 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 Springfield Parkway, Fort Mill, SD 29715 | 2020-08-25 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1730715293 | Fort Mill Dobys Bridge Dental LLC | Clinic/Center | 1500 Fort Mill Pkwy #108, Fort Mill, SC 29715 | 2020-03-17 |
| 1841728755 | Dennis Demetrius Williams | Specialist/Technologist | 1179 Madison Green Dr, Fort Mill, SC 29715 | 2017-05-23 |
| 1437684453 | Specialty Orthopaedics and Sports Medicine | Orthopaedic Surgery | 130 Crisanto Ave Ste B, Fort Mill, SC 29715 | 2017-04-27 |
| 1730624115 | Springfield Dentistry | Dentist | 452 Mercantile Place, Fort Mill, SC 29715 | 2016-12-21 |
| 1700335569 | Melby Transitions Mht LLC | Internal Medicine | 1148 Wessington Manor Ln, Fort Mill, SC 29715 | 2016-09-22 |
| 1629434071 | Palmetto Family Pharmacy Regent Park | Pharmacy | 1046 Regent Parkway, Suite 104, Fort Mill, SC 29715 | 2016-01-14 |
| 1619374220 | Rebecca Rowe | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715 | 2014-11-25 |
| 1003248873 | Terri Hennessey | Speech-Language Pathologist | 1599 Farm House Dr, Fort Mill, SC 29715 | 2013-08-05 |
| Find all providers in zip 29715 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1972006682 | Mundo Dental Group, Pa | Dentist | 3463 Highway 21 Byp Ste 101, Fort Mill, SC 29715-7210 | 2018-03-09 |
| 1730624115 | Springfield Dentistry | Dentist | 452 Mercantile Place, Fort Mill, SC 29715 | 2016-12-21 |
| 1922480060 | Mundo Management Group, LLC | Dentist | 3463 Highway 21 Byp Ste 1, Fort Mill, SC 29715-7245 | 2015-06-25 |
| 1699181248 | Michelle Gray | Dentist | 1751 Pleasant Road, Suite 101, Fort Mill, SC 29708 | 2014-07-03 |
| 1154761989 | Elizabeth Alexander | Dentist | 485 Tom Hall St Ste 106, Fort Mill, SC 29715-2353 | 2013-06-25 |
| 1336396639 | Michele Moreschi Jasper | Dentist | 2752 Pleasant Rd., Suite 106, Fort Mill, SC 29708 | 2008-08-19 |
| 1508023649 | Dominguez & Rucker Family Dentistry LLC | Dentist | 575 Springcrest Drive, Suite A, Fort Mill, SC 29715-7307 | 2008-05-16 |
| 1821165507 | Nhung Thi Phan | Dentist | 1365 Broadcloth St Ste 204, Fort Mill, SC 29715-4507 | 2006-11-29 |
| 1750461422 | Leslie Christine Henson | Dentist | 765 Crossroads Plaza, Fort Mill, SC 29708 | 2006-10-17 |
| Find all providers in FORT MILL | ||||
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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.