Pough Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

POUGH DENTISTRY

Practice address

3126 Devine St
Columbia, SC 29205-1846

Phone

(803) 252-8101

Fax

(803) 779-7721

NPI assigned

Mar 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Makeeba Bookhart Pough, DMDNPI 1679958532

Title

Owner/Member

Phone

(803) 260-0807

Specialties & licenses 1

Addresses

Other names 1

• University Dental PA Doing business as

Locations

Practitioners 1

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

• Makeeba Bookhart Pough, D.M.D

  • General Practice Dentistry
  • Columbia, SC
  • NPI 1679958532
  NPD Authorized official

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1396445508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 TUFTON CT",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290332742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 DEVINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051846",
            "telephone_number": "803-252-8101",
            "fax_number": "803-779-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POUGH DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "POUGH",
        "authorized_official_first_name": "MAKEEBA",
        "authorized_official_middle_name": "BOOKHART",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "803-260-0807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Dental PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Italya Potts
• Kelsey Potts
• Wendy B. Potts, AU.D., CCC-A
• Pawel Potylicki, MS, LPC
• Tinsley Moise Pou, LPC-A
• Makeeba Bookhart Pough, D.M.D
• Morgan Pough
• Nadine Pouncy
• Sara Alisha Pound, BCBA
• Thongla Poungthana, DC

• 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 Sep 21, 2023; 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.