Carl J Lockwood, DMD
Individual provider Active NPI General Practice Dentistry · Columbia, CA
NPI 1225059645 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1225059645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- SC (SC)
- Practice address
- 9020 Farrow Road
Columbia, CA 29203 - Phone
- (803) 419-5002
- Fax
- (803) 419-9600
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC2116 | SC | MD | Dentist |
| SC | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Smiles Dental, PA | Past | Accepting new patients | |
| Elite Smiles Dental, P.a. | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | SC2116 | SC | |
| General Practice Dentistry | 1223G0001X | SC | SC | Yes |
Addresses
Primary practice location
9020 Farrow Road
Columbia, CA 29203
Mailing address
320 Longtown Rd W
Blythewood, SC 29016-8165
Phone (803) 333-9904
Other providers in Columbia, CA
- Connected Branches Holistic Wellness LLC
- Dolora Dossi
- Jakob Jaggy
- Jakob Jaggy, MD, Inc
- Emma Jean Lindsay
- Sue Pung
- Jeph A Solo
All providers in Columbia, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.