NPIMap

Organization Active NPI

Dental Professionals of South Carolina, P.C.

Doing business as South Carolina Dental Center

  • General Practice Dentistry
  • Columbia, SC
National Provider Identifier
1457666273
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2665 Issued in SC
Legal business name
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Doing business as
South Carolina Dental Center
Practice address
2020 Laurel St
Columbia, SC 29204-1019
Phone
(803) 254-4543
Fax
(803) 779-3329
NPI assigned
Aug 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Brittany N Howard
Title
Credentialing Coordinator/Affiliati
Phone
(217) 540-8946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2665 SC Primary

Addresses

Primary practice location

2020 Laurel St
Columbia, SC 29204-1019

Mailing address

2020 Laurel St
Columbia, SC 29204-1019
Phone (803) 254-4543

Other names 1

  • South Carolina Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Professional of South Carolina PC74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2020 Laurel St
Columbia, SC 29204
Phone (803) 254-4543

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1457666273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041019",
            "telephone_number": "803-254-4543",
            "fax_number": "803-779-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041019",
            "telephone_number": "803-254-4543",
            "fax_number": "803-779-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR/AFFILIATI",
        "authorized_official_telephone_number": "217-540-8946"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Carolina Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.