Aman Mehreteab Yehdego, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9766 Issued in SC

Practice address

105 N 12TH St
West Columbia, SC 29169-6412

Phone

(803) 764-3320

NPI assigned

Aug 10, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Columbia SC Emergency Dental Care USA LLC

  • General Practice Dentistry
  • West Columbia, SC
  • NPI 1811659089
  NPD

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1124793344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 PENDLETON ST APT 10F",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013736",
            "telephone_number": "260-445-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N 12TH ST",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696412",
            "telephone_number": "803-764-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEHDEGO",
        "first_name": "AMAN",
        "middle_name": "MEHRETEAB",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Wynn
• Javelle A. Wynter, MD
• Sricharan Yadali
• William Martin Yarbrough, MD
• Edward W Yeh, MD
• Kendra L Yeo, OT
• Yew Belong Community Services, Inc.
• Sonyetta Young, LPC
• Your Health Primary Care of SC, LLC
• Sabrina Nicolle Zaldana, MD

• Dentist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.