Carolina Emergency Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CAROLINA EMERGENCY DENTAL LLC

Practice address

2685 Celanese Rd Ste 116
Rock Hill, SC 29732-2993

Phone

(336) 905-3268

NPI assigned

May 13, 2022

Organization subpart

No

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

Authorized official

Name

Mustafa Albu-Shamah, DDSNPI 1184116378

Title

Owner

Phone

(803) 970-6080

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mustafa Albu-Shamah, DDS

  • Dentist
  • Rock Hill, SC
  • NPI 1184116378
  NPD Authorized official

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1407593288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 CELANESE RD STE 116",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 CELANESE RD STE 116",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322993",
            "telephone_number": "336-905-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EMERGENCY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "ALBU-SHAMAH",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-970-6080",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Chiropractic
• Carolina Community Care Inc
• Carolina Community Care, Inc.
• Carolina Counseling Center
• Carolina Day Haven
• Carolina Eye Cataract & Laser, Inc
• Carolina Family Eyecare Rock Hill LLC
• Carolina Forensic Psychiatry LLC
• Carolina Hyperbaric and Consultation Services LLC
• Carolina Integrated Medical Solutions, LLC

• Dental Clinic/Center in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.