Carolina Oaks Dental Care of Clemson, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4222 Issued in SC

Legal business name

CAROLINA OAKS DENTAL CARE OF CLEMSON, LLC

Practice address

1000 College Ave
Clemson, SC 29631-2804

Phone

(864) 654-6700

NPI assigned

May 27, 2016

Last updated

May 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martha J Netzler

Title

Dentist

Phone

(864) 654-6700

Specialties & licenses 1

Addresses

Tax ID family

Carolina Oaks Clemson LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carolina Oaks Clemson LLC

  • Dental Clinic/Center
  • Clemson, SC
  • NPI 1225466592
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Tait Gaston Carpenter, DMD

  • Dentist
  • Clemson, SC
  • NPI 1053518985
  NPD (past)

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1154779395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 COLLEGE AVE",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312804",
            "telephone_number": "864-654-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COLLEGE AVE",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312804",
            "telephone_number": "864-654-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA OAKS DENTAL CARE OF CLEMSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "NETZLER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "864-654-6700"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colton Chase Cantley, DPT, PT
• Matthew Cape, PTA
• Carc, Inc. (Clemson Area Retirement Center)
• Carolina Integrative Medicine, PA
• Carolina Oaks Clemson LLC
• Carolina Prosthetics & Orthotics Inc.
• Annette Jolene Carpenter, MA
• Elizabeth Tait Gaston Carpenter, DMD
• April Carty, BA
• Elizabeth Anton Chea, MD

• General Practice Dentistry in Clemson, SC
• Providers in Clemson, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.