Nicole Rose Dubois, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10260 Issued in SC

Practice address

5443 Platt Springs Rd Ste F
Lexington, SC 29073-6203

Phone

(803) 470-5067

NPI assigned

Jun 29, 2022

Sex

Female

Sole proprietor

No

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.

• Red Bank Smiles Dentistry, PC

  • Dentist
  • Lexington, SC
  • NPI 1750858122
  NPD

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1194457085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 LAKE MURRAY BLVD APT 15208",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292120866",
            "telephone_number": "757-243-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5443 PLATT SPRINGS RD STE F",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290736203",
            "telephone_number": "803-470-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "NICOLE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dre Holding Co LLC
• Jennifer Dressman
• James Ashley Driggers, PHARM.D
• DRS. Smith & Robinson, PA
• Kabria Drummond, LPC
• Alec Ducharme, OTR/L
• Sara Duerkop, DPT
• Christopher Michael Dugan, ATC
• Sharon Dukes, LMSW
• Sheila Anne Dukes, RPH

• General Practice Dentistry in Lexington, SC
• Providers in Lexington, 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 Jun 29, 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.