Enable Dental of South Carolina, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ENABLE DENTAL OF SOUTH CAROLINA, LLC

Practice address

5555 N Lamar Blvd Ste H125
Austin, TX 78751-1096

Phone

(866) 988-4504

Fax

(866) 815-3719

NPI assigned

Mar 10, 2025

Last updated

Mar 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Bollinger

Title

RCM

Phone

(512) 500-0302

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1417756818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD STE H125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511096",
            "telephone_number": "866-988-4504",
            "fax_number": "866-815-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD STE H125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511096",
            "telephone_number": "866-988-4504",
            "fax_number": "866-815-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENABLE DENTAL OF SOUTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "BOLLINGER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "512-500-0302"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Annette Enababor
• Enable Dental of Arizona (Enable Dental)
• Enable Dental of Illinois PLLC (Enable Dental Inc.)
• Enable Dental of New Mexico LLC
• Enable Dental of New York PLLC (Enable Dental Inc.)
• Enable Dental of Virginia PLLC (Enable Dental)
• Enabled Living, LLC
• Enamel Dentistry at the Grove , PLLC
• Enamel Dentistry Domain PLLC
• Enamel Dentistry Easton Park, PLLC

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.