Active NPI
Piedmont Dental Center
- Dentist
- Spartanburg, SC
National Provider Identifier
1104929116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- PIEDMONT DENTAL CENTER
- Practice address
- 975 North Church Street
Spartanburg, SC 29303 - Phone
- (864) 582-4308
- Fax
- (864) 596-4492
- NPI assigned
- Sep 6, 2006
- 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
- Mrs. Angie B Webb
- Title
- Asst Office Manager
- Phone
- (864) 582-4308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
975 North Church Street
Spartanburg, SC 29303
Mailing address
975 North Church Street
Spartanburg, SC 29303
Phone (864) 582-4308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZA9992 | Medicaid | SC |
Other names 1
- Charleston Denture Center Columbia Denture Center
National Provider Directory
National Provider Directory- Tax ID family
- Charleston Denture Center Columbia Denture Cent
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Spartanburg, SC
- NPI 1326118464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104929116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 NORTH CHURCH STREET",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "29303",
"telephone_number": "864-582-4308",
"fax_number": "864-596-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 NORTH CHURCH STREET",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "29303",
"telephone_number": "864-582-4308",
"fax_number": "864-596-4492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIEDMONT DENTAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WEBB",
"authorized_official_first_name": "ANGIE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "ASST OFFICE MANAGER",
"authorized_official_telephone_number": "864-582-4308",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZA9992",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Charleston Denture Center Columbia Denture Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.