Upcountry Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

UPCOUNTRY DENTAL, LLC

Practice address

11 Professionals Cir
Seneca, SC 29678-2669

Phone

(864) 776-0123

Fax

(864) 776-0025

NPI assigned

Dec 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Adrienne N Wimbrow, DMDNPI 1578874855

Title

Owner Dentist

Phone

(864) 776-0123

Specialties & licenses 1

Addresses

Other names 1

• Upcountry Dental Doing business as

Practitioners 1

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

• Adrienne Nicole Wimbrow, D.M.D

  • Dentist
  • Anderson, SC
  • NPI 1578874855
  NPD Authorized official

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1093522005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PROFESSIONALS CIR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782669",
            "telephone_number": "864-776-0123",
            "fax_number": "864-776-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PROFESSIONALS CIR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782669",
            "telephone_number": "864-776-0123",
            "fax_number": "864-776-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPCOUNTRY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "WIMBROW",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "864-776-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upcountry Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hui-Lin Tsai
• Brian Tucker, PHARMD
• John Robert Tucker
• Matthew Ryan Turner, DPT
• Allison Shealy Unda, MCD
• Upstate Affiliate Organization
• Upstate ENT Associates, P.a.
• Upstate Family Medicine PA
• Upstate Homecare MD, LLC
• Upstate Institute of Youth Programs, Inc.

• Dental Clinic/Center in Seneca, SC
• Providers in Seneca, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.