Organization Active NPI

James Candon, DDS, LLC

  • Dental Clinic/Center
  • Indian Land, SC
National Provider Identifier
1265087498
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAMES CANDON, DDS, LLC
Practice address
2012 Bridgemill Drive
Suite 108
Indian Land, SC 29707-2970
Phone
(802) 999-8818
NPI assigned
Aug 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Dr. James Matthew Candon III, DDSNPI 1972951028
Title
Dentist/Owner
Phone
(802) 999-8818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2012 Bridgemill Drive
Suite 108
Indian Land, SC 29707-2970

Mailing address

2012 Bridgemill Dr Ste 108
Indian Land, SC 29707-9221
Phone (802) 999-8818

Other names 1

  • BridgeMill Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

2012 Bridgemill Dr
Ste 108
Indian Land, SC 29707
Phone (802) 999-8818

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1265087498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 BRIDGEMILL DR STE 108",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297079221",
            "telephone_number": "802-999-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 BRIDGEMILL DRIVE",
            "address_2": "SUITE 108",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297072970",
            "telephone_number": "802-999-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES CANDON, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "CANDON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "802-999-8818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BridgeMill Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian Land, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.