CAROLINA DENTAL DOCS LLC GENERAL DENTISTRY FOR KIDS (NPI# 1942601174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942601174 |
| Entity Type | Organization |
| Organization Name | CAROLINA DENTAL DOCS LLC GENERAL DENTISTRY FOR KIDS |
| Practice Address |
1460 John B White Sr Blvd, Ste 1-c Spartanburg SC 29306 |
| Practice Telephone | 8646410495 |
| Practice Fax Number | 8647072133 |
| Mailing Telephone | (864) 641-0495 |
| Mailing Fax Number | 8647072133 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | JIM NASIM (OWNER) |
| Authorized Official Telephone | 8646410495 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1460 JOHN B WHITE SR BLVD, STE 1-C |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487111738 | Paladina Health, LLC | Family Medicine | Paladina Health Spartanburg Palmetto Bank, 101 West Saint John Street Suite 107, Spartanburg, SC 29306 | 2019-02-22 |
| 1295253441 | Michael Neal Quinn | Chiropractor | 851 John B White Sr Blvd, Spartanburg, SC 29306 | 2017-09-07 |
| 1003347980 | T and T Home Health Care | Home Health | 1315 John B White Sr Blvd, Spartanburg, SC 29306 | 2017-03-23 |
| 1801237375 | Jireh Services,llc | Specialist | 180 John B. White Sr. Blvd, Spartanburg, SC 29306 | 2013-07-12 |
| 1811268683 | Rochelle Janene Delain | Chiropractor | 1425 John B. White, Sr. Boulevard, Spartanburg, SC 29306 | 2012-01-25 |
| 1366602229 | Jasjot K. Bhullar | Internal Medicine | 1410-b John B. White Sr. Boulevard, Spartanburg, SC 29306 | 2008-06-13 |
| 1356543045 | Cheryl B Haman | Counselor | 200 Ezell Street, Spartanburg, SC 29306 | 2007-06-04 |
| 1821142506 | Paula F Wilson | Counselor | 335 Caulder Ave, Spartanburg, SC 29306 | 2007-01-22 |
| 1154473163 | Ronald E Marshall Dds Pa | Dentist | 1410 John B White Sr Blvd, Spartanburg, SC 29306 | 2007-01-18 |
| 1821140385 | Aaron Chad Ellett | Dentist | 460 Saint Andrew's St, Spartanburg, SC 29306 | 2007-01-17 |
| Find all providers in zip 29306 | ||||
| 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 |
|---|---|---|---|---|
| 1891312039 | Prince B Moses | Dentist | 631 N Church St, Spartanburg, SC 29303-3046 | 2020-07-04 |
| 1316563133 | Todd Garrett Woollen | Dentist | 272 Cedar Springs Rd, Spartanburg, SC 29302-4643 | 2020-06-17 |
| 1790207801 | Pine Street Dental LLC | Dentist | 364 S Pine St Ste A101, Spartanburg, SC 29302-2654 | 2017-07-10 |
| 1932566197 | Gamble Dentalsmart PC | Dentist | 2127 E Main St, Suite E, Spartanburg, SC 29307-1454 | 2016-01-19 |
| 1437524469 | Hillcrest Family and Cosmetic Dentistry, LLC | Dentist | 2088 E Main St, Suite A & B, Spartanburg, SC 29307-1425 | 2015-12-02 |
| 1770915530 | Steven Andrew Richards | Dentist | 270 Cedar Springs Rd, Spartanburg, SC 29302-4654 | 2013-08-05 |
| 1659609485 | Regenesis Organzation Community Health Center | Dentist | 550 S Church Street, Unit 2, Spartanburg, SC 29306-3306 | 2009-12-07 |
| 1396972618 | Paul Michael Gibas Jr. | Dentist | 1585 Skylyn Drive, Spartanburg, SC 29307 | 2009-06-12 |
| 1225285646 | Radiant Dentistry | Dentist | 1440 Fernwood Glendale Rd, Spartanburg, SC 29307-3079 | 2008-08-27 |
| 1780850107 | Walter R. Frye | Dentist | 1526c John B White Sr Blvd, Spartanburg, SC 29301-3886 | 2008-05-06 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29306 |
Please comment or provide details below to improve the information on CAROLINA DENTAL DOCS LLC GENERAL DENTISTRY FOR KIDS.
| 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.