Active NPI
Columbia Denture Center - Columbia, P.C.
- Dentist
- Columbia, SC
National Provider Identifier
1053573949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4470
- Legal business name
- COLUMBIA DENTURE CENTER - COLUMBIA, P.C.
- Practice address
- 2123 Broad River Rd
Columbia, SC 29210-7007 - Phone
- (803) 799-5700
- NPI assigned
- Jul 1, 2008
- Last updated
- Jul 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry Brown
- Title
- DMD
- Phone
- (803) 799-5700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4470 | SC | Primary |
Addresses
Primary practice location
2123 Broad River Rd
Columbia, SC 29210-7007
Mailing address
2123 Broad River Rd
Columbia, SC 29210-7007
Phone (803) 799-5700
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1053573949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2123 BROAD RIVER RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292107007",
"telephone_number": "803-799-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 BROAD RIVER RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292107007",
"telephone_number": "803-799-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA DENTURE CENTER - COLUMBIA, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "DMD",
"authorized_official_telephone_number": "803-799-5700"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "4470",
"primary": true
}
],
"identifiers": [],
"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 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.