GD SC Columbia, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GD SC COLUMBIA, LLC

Doing business as

Southern Smiles Dental Studio

Practice address

160 Summit Centre Dr
Columbia, SC 29229-7612

Phone

(803) 699-7224

NPI assigned

Mar 20, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• Southern Smiles Dental Studio Doing business as

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1255033627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SUMMIT CENTRE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297612",
            "telephone_number": "803-699-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SUMMIT CENTRE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297612",
            "telephone_number": "803-699-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GD SC COLUMBIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Smiles Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hadyn Stands Gause, NP
• Kartina Gause, RN
• Robert Gauthier
• William H Gaw Jr., NP
• Kadeidre La'Trell Gaymon
• David Gearding Jr., DO
• Shannon Leigh Gearhart, M.D.
• Cindy Irene Gearheart, APRN, FNP-C
• Anwar Gebremichael, DDS
• Robert Duncan Geddens, D.P.T.

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, 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 Mar 20, 2023; 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.