Organization Active NPI

Premier Smile Center, LLC

  • General Practice Dentistry
  • Columbia, SC
National Provider Identifier
1013484484
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PREMIER SMILE CENTER, LLC
Practice address
7212 Brookfield Rd
Columbia, SC 29223-2202
Phone
(803) 626-1265
Fax
(803) 281-8832
NPI assigned
Oct 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Glennell Smith, DDSNPI 1801105044
Title
Dentist/Owner
Phone
(803) 626-1265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7212 Brookfield Rd
Columbia, SC 29223-2202

Mailing address

7212 Brookfield Rd
Columbia, SC 29223-2202
Phone (803) 626-1265

Other identifiers 1

IdentifierTypeStateIssuer
6936OtherSCDENTEST REGISTRATION

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1013484484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 BROOKFIELD RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232202",
            "telephone_number": "803-626-1265",
            "fax_number": "803-281-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 BROOKFIELD RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232202",
            "telephone_number": "803-626-1265",
            "fax_number": "803-281-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SMILE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GLENNELL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "803-626-1265",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTEST REGISTRATION",
            "identifier": "6936",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.