Ambassador Practice Management, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3059 Issued in SC

Legal business name

AMBASSADOR PRACTICE MANAGEMENT, LLC

Doing business as

SC Cosmetic & Implant Dentistry

Practice address

104 W Oak Hwy
Westminster, SC 29693-2226

Phone

(864) 647-9000

Fax

(425) 671-0756

NPI assigned

Dec 19, 2016

Last updated

Dec 19, 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

Nachum Augenbaum, DDS

Title

Owner / Manager

Phone

(864) 647-9000

Specialties & licenses 1

Addresses

Other names 1

• SC Cosmetic & Implant Dentistry Doing business as

Locations

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1235673740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 GROVE AVE",
            "address_2": "#101",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162322",
            "telephone_number": "425-503-1607",
            "fax_number": "425-671-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W OAK HWY",
            "city": "WESTMINSTER",
            "state": "SC",
            "postal_code": "296932226",
            "telephone_number": "864-647-9000",
            "fax_number": "425-671-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBASSADOR PRACTICE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "AUGENBAUM",
        "authorized_official_first_name": "NACHUM",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "864-647-9000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "3059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SC Cosmetic & Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Auffhammer, SLP
• Joan Crawford Beggs, RPH
• Lynne Britt, B.S. M.A.
• Jenny Brune
• Leeann G Butts, RNFNP

• Dental Clinic/Center in Westminster, SC
• Providers in Westminster, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.