Doby's Bridge Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DOBY'S BRIDGE DENTISTRY

Practice address

4174 Dobys Brige Road Ste 100
Indian Land, SC 29707

Phone

(803) 650-6323

NPI assigned

Dec 16, 2019

Last updated

Sep 2, 2020By 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

Tiky Swain, DDSNPI 1013065796

Title

Owner

Phone

(803) 650-6323

Specialties & licenses 1

Addresses

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.

• Tiky Kytasha Swain, DDS

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1013065796
  NPD Authorized official

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1215575774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4174 DOBYS BRIGE ROAD STE 100",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "29707",
            "telephone_number": "803-650-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4174 DOBYS BRIGE ROAD STE 100",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "29707",
            "telephone_number": "803-650-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOBY'S BRIDGE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "SWAIN",
        "authorized_official_first_name": "TIKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-650-6323",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Scott Dawson, D.O.
• Dental Professional of South Carolina, P.C. (Indian Land Dental Care)
• Dental Professionals of South Carolina, PC (Edgewater Family Dental)
• Ryan Dillard
• Brittany Dinkins, MA, CCC-SLP
• Doctors Care SC, PA (Doctors Care Indian Land)
• Donna Dukes
• Kimia Eftekhar, DDS
• Mark Ellis
• Medgine Christie Etienne, DDS

• General Practice Dentistry in Indian Land, SC
• Providers in Indian Land, 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 Sep 2, 2020; 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.