Gokhan Baris Ozdener, DMD, DSC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9559 Issued in SC

Practice address

6420 Garners Ferry Rd Ste X
Columbia, SC 29209-1632

Phone

(803) 661-8412

NPI assigned

Jul 20, 2020

Last updated

Jul 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Breeze Family Dentistry, P.C.

  dba Better Smiles Dental Care

  • General Practice Dentistry
  • Portsmouth, NH
  • NPI 1336973155
  NPD Authorized official

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1396353850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 GARNERS FERRY RD STE X",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091632",
            "telephone_number": "803-661-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 GARNERS FERRY RD STE X",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091632",
            "telephone_number": "803-661-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZDENER",
        "first_name": "GOKHAN",
        "middle_name": "BARIS",
        "credential": "DMD, DSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11871",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9559",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MA",
            "license": "DH89933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC DENTAL BOARD",
            "identifier": "9559",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE OF DENTAL BOARD",
            "identifier": "11871",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anna@garnersferrydentistry.com",
            "affiliation": "N",
            "endpointDescription": "Email address of business owner",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6420 Garners Ferry Rd Ste X",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292091632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Takia M Owens
• Taylor Buck Owens, APRN
• William Benjamin Owens, M.D.
• Kiersten Elaine Owings, MHA
• Nuri Ozden, M.D.
• Thelma Ozigbu, NP
• Jimmy Pacheco-Perez, M.D.
• Tristan Pack
• Brittany Padgett
• Roland S Padgett, R.PH.

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, 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 Jul 20, 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.