Organization Active NPI

Mowlajlo Family and Cosmetic Dentistry,LLC

  • General Practice Dentistry
  • Anderson, SC
National Provider Identifier
1255560108
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOWLAJLO FAMILY AND COSMETIC DENTISTRY,LLC
Practice address
205 E Highland Ave # Avw
Anderson, SC 29621-4711
Phone
(864) 224-8831
Fax
(864) 244-8870
NPI assigned
Jul 13, 2009
Last updated
Jul 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Ms. Patti P Mowlajko
Title
Owner of Practice
Phone
(864) 224-8831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X SC Primary

Addresses

Primary practice location

205 E Highland Ave # Avw
Anderson, SC 29621-4711

Mailing address

205 E Highland Ave
Anderson, SC 29621-4711
Phone (864) 224-8831

National Provider Directory

National Provider Directory

Locations

205 E Highland Ave
Anderson, SC 29621
Phone (864) 224-8831

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1255560108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E HIGHLAND AVE",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214711",
            "telephone_number": "864-224-8831",
            "fax_number": "864-224-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E HIGHLAND AVE # AVW",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214711",
            "telephone_number": "864-224-8831",
            "fax_number": "864-244-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOWLAJLO FAMILY AND COSMETIC DENTISTRY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "MOWLAJKO",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER OF PRACTICE",
        "authorized_official_telephone_number": "864-224-8831",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.