Aesthetic Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3757 Issued in SC

Legal business name

AESTHETIC DENTAL

Practice address

3224 Farrow Rd
Columbia, SC 29203-7006

Phone

(803) 256-2403

NPI assigned

Apr 29, 2016

Last updated

Apr 29, 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

Dr. Annette Riley, D.M.D.

Title

Dentist

Phone

(803) 256-2403

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1245685056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037006",
            "telephone_number": "803-256-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037006",
            "telephone_number": "803-256-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "803-256-2403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "3757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Affordable Dentures - Columbia, P.C.
• Affordable Dentures & Implants - South Carolina III, LLC (Affordable Dentures & Implants- Columbia NE)

• Dental Clinic/Center in Columbia, SC
• Providers in Columbia, 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 Apr 29, 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.