Southern Smiles Dental Studio Columbia LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOUTHERN SMILES DENTAL STUDIO COLUMBIA LLC

Practice address

160 Summit Centre Dr
Columbia, SC 29229-7612

Phone

(803) 699-7224

Fax

(803) 736-0985

NPI assigned

Mar 6, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Denise Pittman

Title

Office

Phone

(864) 576-7464

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Andy Roy Butcher, DMD

  • General Practice Dentistry
  • Spartanburg, SC
  • NPI 1477588804
  NPD (past)
• Mallory Jo Nyenhuis, D.D.S.

  • Dentist
  • Flagstaff, AZ
  • NPI 1437503364
  NPD (past)

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1477055481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 REIDVILLE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015644",
            "telephone_number": "803-699-7224",
            "fax_number": "803-736-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SUMMIT CENTRE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297612",
            "telephone_number": "803-699-7224",
            "fax_number": "803-736-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SMILES DENTAL STUDIO COLUMBIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE",
        "authorized_official_telephone_number": "864-576-7464",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Home Care Services, Inc.
• Southern Orthopaedic Physical Therapy,LLC
• Southern Orthopaedic Sports Medicne
• Southern Pain Specialists
• Southern Roots Periodontics: Implant & Laser Dentistry, LLC
• Southerncare, Inc.
• Lisa Anne Southworth, LPC
• Jaelyn Souza
• Aubrey Katherine Sowell, M.D.
• Brittany Watson Sowers, PHARMD

• Dental Clinic/Center in Columbia, SC
• Providers in Columbia, 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 Mar 6, 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.