NPIMap

Organization Active NPI

Carolina Center for Cosmetic and Restorative Dentistry, LLC

  • General Practice Dentistry
  • Conway, SC
National Provider Identifier
1124238407
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3112 Issued in SC
Legal business name
CAROLINA CENTER FOR COSMETIC AND RESTORATIVE DENTISTRY, LLC
Practice address
1515 9TH Ave
Conway, SC 29526-4107
Phone
(843) 248-3843
Fax
(843) 248-8802
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Dr. Jeffrey Wayne Horowitz, D.M.D.
Title
Owner
Phone
(843) 248-3843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3112 SC Primary

Addresses

Primary practice location

1515 9TH Ave
Conway, SC 29526-4107

Mailing address

1515 9TH Ave
Conway, SC 29526-4107
Phone (843) 248-3843

Other names 1

  • Jeffrey W. Horowitz, D.M.D. LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1124238407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 9TH AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264107",
            "telephone_number": "843-248-3843",
            "fax_number": "843-248-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 9TH AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264107",
            "telephone_number": "843-248-3843",
            "fax_number": "843-248-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CENTER FOR COSMETIC AND RESTORATIVE DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-248-3843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey W. Horowitz, D.M.D. LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.