NPIMap

Organization Active NPI

SS Dental LLC

  • Dental Clinic/Center
  • Columbia, SC
National Provider Identifier
1144974031
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SS DENTAL LLC
Practice address
1116 Atlas Rd
Columbia, SC 29209-2532
Phone
(803) 783-0525
Fax
(803) 776-1105
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Dr. Jon D. Smith, DDSNPI 1235160169
Title
Dr./Owner
Phone
(803) 606-5134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1116 Atlas Rd
Columbia, SC 29209-2532

Mailing address

1116 Atlas Rd
Columbia, SC 29209-2532
Phone (803) 783-0525

Other names 1

  • Southern Shores Dental of Columbia Doing business as

National Provider Directory

National Provider Directory

Locations

1116 Atlas Rd
Columbia, SC 29209
Phone (803) 783-0525

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1144974031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 ATLAS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092532",
            "telephone_number": "803-783-0525",
            "fax_number": "803-776-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 ATLAS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092532",
            "telephone_number": "803-783-0525",
            "fax_number": "803-776-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DR./OWNER",
        "authorized_official_telephone_number": "803-606-5134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Shores Dental of Columbia",
            "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 Feb 9, 2022; 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.