CEDAR BLUFF FAMILY AND COSMETIC DENTISTRY PA (NPI# 1609086149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609086149 |
| Entity Type | Organization |
| Organization Name | CEDAR BLUFF FAMILY AND COSMETIC DENTISTRY PA |
| Practice Address |
634 B Fairview Rd Suite 1 Simpsonville SC 29860 |
| Mailing Address |
634b Fairview Rd Ste 1 Simpsonville SC 29680-6700 |
| Practice Telephone | 8649626787 |
| Mailing Telephone | 8649626787 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | JEREMY R BAYER (PRESIDENT) |
| Authorized Official Telephone | 8649626787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4207 | SC | Dental Providers |
| Street Address |
634 B FAIRVIEW RD SUITE 1 |
| City | SIMPSONVILLE |
| State | SC |
| Zip Code | 29860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114340015 | Kyle William Price | Chiropractor | 634 B Fairview Rd, Ste 2, Simpsonville, SC 29680 | 2014-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519507 | Stephanie Silva Dmd, LLC | Dentist | 133 Allen Court, North Augusta, SC 29860 | 2020-05-15 |
| 1013499193 | Shannon Denise Richardson | Occupational Therapy Assistant | 305 Graybill Rd, North Augusta, SC 29860 | 2018-09-05 |
| 1174990923 | Valensia Clark | Occupational Therapy Assistant | 49 Lionsgate Drive, North Augusta, SC 29860 | 2015-08-27 |
| 1104219617 | Linda Carole Sherrard | Counselor | 1367 W Martintown Rd Ste 7, North Augusta, SC 29860 | 2015-03-07 |
| 1205244274 | Wal-mart Stores East, Lp | Technician/Technologist | 1041 Edgefield, North Augusta, GA 29860 | 2014-07-23 |
| 1396897021 | Food Lion LLC | Durable Medical Equipment & Medical Supplies | 135 Market Plaza Dr., No Augusta, SC 29860 | 2007-01-16 |
| 1538123294 | Paul M Weiner | Emergency Medicine | 107 Walnut Ln Ste 102, North Augusta, SC 29860 | 2006-04-12 |
| 1255844478 | Lauren Boynton | Nurse Practitioner | 140 Allen Court, North Augusta, SC 29860 | 2017-11-09 |
| 1851642219 | Raul Luevano | Nurse Practitioner | 698 Fairview Rd, Simpsonville, SC 29860 | 2012-09-26 |
| 1174888366 | Marlon Lee-britton Sharpe | Family Medicine | 107 Walnut Ln Ste 101, North Augusta, SC 29860 | 2012-07-12 |
| Find all providers in zip 29860 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972073831 | Dental Professional of South Carolina, P.C. | Dentist | 2800 Woodruff Rd, Simpsonville, SC 29681-4806 | 2018-12-04 |
| 1518482835 | Julia Lynne Findlay | Dentist | 340 Harrison Bridge Rd Ste D, Simpsonville, SC 29680-7133 | 2017-08-08 |
| 1962924407 | Logan Donald King | Dentist | 668 Fairview Rd # B, Simpsonville, SC 29680-6708 | 2017-07-15 |
| 1487013108 | Dental Professionals of South Carolina, PC | Dentist | 340 Harrison Bridge Rd, Suite D, Simpsonville, SC 29680-7133 | 2016-02-23 |
| 1457733446 | Elizabeth A Huggins | Dentist | 745 Se Main St # 3237, Simpsonville, SC 29681-3237 | 2015-06-25 |
| 1528455268 | Jake Jacomet | Dentist | 634b Fairview Rd, Simpsonville, SC 29680-6700 | 2015-04-21 |
| 1598177784 | Laura Rebecca Hofto | Dentist | 216 Scuffletown Rd Ste E, Simpsonville, SC 29681-7296 | 2014-05-22 |
| 1285978288 | Mortenson Family Dental Center - Simpsonville, Pllc | Dentist | 137 Buck Creek Rd, Simpsonville, KY 40067-6674 | 2012-11-15 |
| 1811251036 | Leanna Christine Shetler | Dentist | 11 Magnolia Cove Drive, Simpsonville, SC 29680-2968 | 2012-07-02 |
| 1871806612 | Lauriant Azangue | Dentist | 209 Teaticket Ct, Simpsonville, SC 29681-5790 | 2010-07-21 |
| Find all providers in SIMPSONVILLE | ||||
| City | SIMPSONVILLE |
| Zip Code | 29860 |
Please comment or provide details below to improve the information on CEDAR BLUFF FAMILY AND COSMETIC DENTISTRY PA.
| 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.