Midlands Technical College Dental Clinic

Primary specialty

DentistTaxonomy code 122300000X

License

2579 Issued in SC

Legal business name

MIDLANDS TECHNICAL COLLEGE DENTAL CLINIC

Practice address

1260 Lexington Dr
West Columbia, SC 29170-2176

Phone

(803) 822-3450

Fax

(803) 822-3079

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Martha Hanks, D.D.S.

Title

Director

Phone

(803) 822-3451

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Nancy Patricia Hudson, RN

  • Medical-Surgical Registered Nurse
  • West Columbia, SC
  • NPI 1669696902
  NPD (past)
• Gina Holland Ormond, DMD

  • Dentist
  • West Columbia, SC
  • NPI 1093922908
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386862191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 LEXINGTON DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291702176",
            "telephone_number": "803-822-3450",
            "fax_number": "803-822-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 LEXINGTON DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291702176",
            "telephone_number": "803-822-3450",
            "fax_number": "803-822-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS TECHNICAL COLLEGE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANKS",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-822-3451",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "2579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midlands Exams and Drug Screening, Inc
• Midlands Family Dentistry
• Midlands Orthopaedics and Neurosurgery, PA
• Midlands Orthopaedics and Neurosurgery, PA
• Midlands Primary Care Inc
• Midlands Urological Specialists
• Midlands Women's Care, LLC (Midlands ObGyn LLC)
• Deana Jones Miles, PHARMD
• Kaeley Rebekah Miles
• Lysa Anne Miller-Dupre, LMSW

• Dentist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Dentist 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.