Carly Vail Cotten, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10474 Issued in SC

Practice address

7701 Trenholm Road Ext
Columbia, SC 29223-1725

Phone

(803) 736-6000

Fax

(803) 736-6084

NPI assigned

Aug 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolina Children'S Dentistry, PA

  • Pediatric Dentistry
  • Columbia, SC
  • NPI 1396899175
  NPD (past)
• Wild Smiles, LLC

  • Pediatric Dentistry
  • Lexington, SC
  • NPI 1295920346
  NPD (past)

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1316612054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GERVAIS ST APT 201",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013097",
            "telephone_number": "251-550-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 TRENHOLM ROAD EXT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231725",
            "telephone_number": "803-736-6000",
            "fax_number": "803-736-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTEN",
        "first_name": "CARLY",
        "middle_name": "VAIL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DRP2369",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "10649PD",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "10474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Lee Coste, DO
• Carol C Coston, MS
• Taylor Amanda Coston, PHARMD
• Harry Cotler, DPM
• Cottage Home Care SC LLC
• Cottingham Family Dentistry, LLC
• Douglas Franklin Cottingham, DMD
• Sarah S Cottingham, MD
• Rachel Cotton
• Mollie Carter Cotty, NP-C

• Pediatric Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.