Catawba River Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CATAWBA RIVER DENTISTRY, LLC

Practice address

200 N Dobys Bridge Rd Ste 108
Fort Mill, SC 29715-2084

Phone

(803) 396-5888

Fax

(803) 396-5893

NPI assigned

Oct 18, 2023

Last updated

Oct 18, 2023By 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

Stephanie R Montuori

Title

Office Manager

Phone

(803) 396-5888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr Logan Ebersold DMD LLC Former legal business name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Logan B Ebersold, DMD

  • General Practice Dentistry
  • Fort Mill, SC
  • NPI 1053540708
  NPD
• Anjali Seth, D.D.S.

  • General Practice Dentistry
  • Monroe, NC
  • NPI 1932388436
  NPD (past)

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1255113932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N DOBYS BRIDGE RD STE 108",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297152084",
            "telephone_number": "803-396-5888",
            "fax_number": "803-396-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N DOBYS BRIDGE RD STE 108",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297152084",
            "telephone_number": "803-396-5888",
            "fax_number": "803-396-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAWBA RIVER DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "MONTUORI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-396-5888"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "1770100505",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Logan Ebersold DMD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cici Carter, M.D.
• Lindsey Elizabeth Carver, PT
• Courtney Marie Casey, PA-C
• Ben HB Castelsky, DMD
• Sara Castillo-Thompson, PH.D.
• CC Elderly Care Connection
• Center for Personal Growth
• Joelle Ceremy, CNM
• Andrea Cervantes-Martinez
• Emily Chambers, M.S., CF-SLP

• General Practice Dentistry in Fort Mill, SC
• Providers in Fort Mill, 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 Oct 18, 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.