Active NPI
Nichol Margaret Coburn, DDS
- Dentist
- Indian Land, SC
National Provider Identifier
1336074061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11470
- Practice address
- 8390 Charlotte Hwy Ste 300
Indian Land, SC 29707-6563 - Phone
- (803) 431-7477
- NPI assigned
- Jun 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11470 | SC | Primary |
Addresses
Primary practice location
8390 Charlotte Hwy Ste 300
Indian Land, SC 29707-6563
Mailing address
39 Valleyview Rd
Scenery Hill, PA 15360-1001
Phone (412) 508-6801
Other practice location 1
9216 Ardrey Kell Rd Ste 400
Charlotte, NC 28277-4954
Phone (704) 897-7757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Smile Dentistry, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Indian Land, SC
- NPI 1144674631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1336074061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 VALLEYVIEW RD",
"city": "SCENERY HILL",
"state": "PA",
"postal_code": "153601001",
"telephone_number": "412-508-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8390 CHARLOTTE HWY STE 300",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297076563",
"telephone_number": "803-431-7477"
}
],
"practiceLocations": [
{
"address_1": "9216 Ardrey Kell Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282774954",
"country_code": "US",
"telephone_number": "704-897-7757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COBURN",
"first_name": "NICHOL",
"middle_name": "MARGARET",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "11470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.