Mid Carolina Dental Center PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MID CAROLINA DENTAL CENTER PLLC

Practice address

1012 N Woodland Dr
Lancaster, SC 29720-1966

Phone

(803) 285-7645

Fax

(803) 285-7687

NPI assigned

May 21, 2007

Last updated

Aug 22, 2020By 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

Dr. Mindy Renee Goins, D.D.S.NPI 1265454789

Title

President Dentist

Phone

(803) 285-7645

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Mindy R. Goins, DDS

  • General Practice Dentistry
  • Lancaster, SC
  • NPI 1265454789
  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275742165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 N WOODLAND DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297201966",
            "telephone_number": "803-285-7645",
            "fax_number": "803-285-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 N WOODLAND DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297201966",
            "telephone_number": "803-285-7645",
            "fax_number": "803-285-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID CAROLINA DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOINS",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "803-285-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92948",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Medinger, DAT
• Mia Lassiter Medlock, PA-C
• Metrolina Anesthesia LLC
• Jessica Leigh Metzler, CRNA
• MFP Work Wellness LLC
• Mid-Carolina Surgery Specialists, PLLC
• Midlands Orthodontics LLC (Kids First Dental)
• Molly Paige Miedema, DNAP,CRNA
• Kirellos Atef Zaki Abboud Mikhail, MD
• Milestones Speech and Language LLC

• General Practice Dentistry in Lancaster, SC
• Providers in Lancaster, 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 Aug 22, 2020; 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.