Golden Corner Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GOLDEN CORNER DENTAL, LLC

Doing business as

Golden Corner Dentistry, LLC

Practice address

102 Lusk Dr
West Union, SC 29696-2629

Phone

(864) 638-7733

NPI assigned

Jun 18, 2019

Last updated

Jun 18, 2019By 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

Jared R. Burr, DDS

Title

Owner

Phone

(864) 906-4333

Specialties & licenses 1

Addresses

Other names 1

• Golden Corner Dentistry, LLC Doing business as

Locations

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1245890532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LUSK DR",
            "city": "WEST UNION",
            "state": "SC",
            "postal_code": "296962629",
            "telephone_number": "864-638-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LUSK DR",
            "city": "WEST UNION",
            "state": "SC",
            "postal_code": "296962629",
            "telephone_number": "864-638-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CORNER DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "BURR",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-906-4333",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Corner Dentistry, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cobb Chiropractic Inc.
• Kaitlyn Yvonne Kluge Dale, PT,DPT
• Marie Alana Davis, LMT
• Family Dental Health of Golden Corner LLC
• Foothills Assisted Living, LLC
• Golden Corner Dentistry, LLC
• Golden Corner Family Prac
• Jennifer Grogan
• Kimberly Hart Harvey, P.T.
• Melissa Poleynard Hubbard

• Dental Clinic/Center in West Union, SC
• Providers in West Union, 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 Jun 18, 2019; 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.