Southern Dental Associates, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3588 Issued in SC

Legal business name

SOUTHERN DENTAL ASSOCIATES, LLC

Practice address

3244 Sunset Blvd
West Columbia, SC 29169

Phone

(803) 796-1140

Fax

(803) 796-1974

NPI assigned

Mar 19, 2007

Last updated

Jul 6, 2011By 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

Dr. Lawrence J. Lorenzi, DMD

Title

Owner

Phone

(803) 796-1140

Specialties & licenses 2

Addresses

Tax ID family

Lawrence J Lorenzi DMD 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.

• Lawrence J. Lorenzi, D.M.D., L.L.C.

  • General Practice Dentistry
  • Fort Mill, SC
  • NPI 1124237763
  NPD tax ID

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1194849893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-796-1140",
            "fax_number": "803-796-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-796-1140",
            "fax_number": "803-796-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "LORENZI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-796-1140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2407",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jewel D Southerland, CRNA
• Southern Charm Healthcare LLC (Opus Post Acute Rehabilitation)
• Southern Urogynecology LLC
• Morgan Sox, PA
• Martin John Spalding, M.D,
• Jimmy Spann
• Allyson Wells Speaks, MD

• General Practice Dentistry in West Columbia, SC
• Providers in West Columbia, 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 Jul 6, 2011; 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.