Forest Acres Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8221 Issued in SC

Legal business name

FOREST ACRES DENTISTRY

Practice address

5211 N Trenholm Rd
Suite a
Columbia, SC 29206-4815

Phone

(803) 782-0965

Fax

(803) 782-3404

NPI assigned

Jan 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Bryan Wingate Jr., DMD

Title

Partner

Phone

(803) 792-0965

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1447671771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 N TRENHOLM RD",
            "address_2": "SUITE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064815",
            "telephone_number": "803-782-0965",
            "fax_number": "803-782-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 N TRENHOLM RD",
            "address_2": "SUITE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064815",
            "telephone_number": "803-782-0965",
            "fax_number": "803-782-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST ACRES DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "WINGATE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "803-792-0965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8221",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8220",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Foreman, MD
• Foreseeable Future
• Forest Acres Community Healthcare, LLC
• Forest Acres Counseling Center LLC
• Forest Acres Dental Care, P.a.
• Forest Acres Well Care
• Forest Drive Dental Care, P.a.
• Forest Drive Physicians
• Forest Drive Primary Care
• Forest Lake Audiology LLC

• 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 Jan 6, 2014; 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.