Organization Active NPI

Affordable Dentures & Implants - South Carolina III, LLC

Doing business as Affordable Dentures & Implants- Columbia NE

  • General Practice Dentistry
  • Columbia, SC
National Provider Identifier
1093531253
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - SOUTH CAROLINA III, LLC
Doing business as
Affordable Dentures & Implants- Columbia NE
Practice address
10050 Two Notch Rd Ste 10
Columbia, SC 29223-4302
Phone
(803) 760-7435
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Kevin Kem, DMD
Title
Managing Dentist
Phone
(803) 760-7435

Specialties & licenses 1

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

Addresses

Primary practice location

10050 Two Notch Rd Ste 10
Columbia, SC 29223-4302

Mailing address

10050 Two Notch Rd Ste 10
Columbia, SC 29223-4302
Phone (803) 760-7435

Other names 1

  • Affordable Dentures & Implants- Columbia NE Doing business as

National Provider Directory

National Provider Directory

Locations

10050 Two Notch Rd
Ste 10
Columbia, SC 29223
Phone (803) 760-7435

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1093531253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 TWO NOTCH RD STE 10",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234302",
            "telephone_number": "803-760-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 TWO NOTCH RD STE 10",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234302",
            "telephone_number": "803-760-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - SOUTH CAROLINA III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "KEM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "803-760-7435",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants- Columbia NE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 3, 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.