Carolina Oaks Dental Care, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3914 Issued in SC

Legal business name

CAROLINA OAKS DENTAL CARE, LLC

Practice address

102 Edinburgh CT
Greenville, SC 29607-2530

Phone

(864) 235-3949

NPI assigned

Jan 24, 2007

Last updated

Aug 22, 2020By 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

Tammie R Foster

Title

Office Manager

Phone

(864) 235-3949

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitchell F Ellett Jr., DMD

  • Dentist
  • Greenville, SC
  • NPI 1881855534
  NPD (past)
• William Allen Lynch, DDS

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1427197441
  NPD (past)
• Marc D Workman, DMD

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1245385723
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477608289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 EDINBURGH CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072530",
            "telephone_number": "864-235-3949",
            "fax_number": "864-235-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 EDINBURGH CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072530",
            "telephone_number": "864-235-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA OAKS DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-235-3949"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Internal Medicine PA
• Carolina Medical Center
• Carolina Medical Rehab
• Carolina Nephrology PA
• Carolina Nursing Associates
• Carolina Oaks Orthodontics, LLC
• Carolina Oral & Facial Surgery, P.a.
• Carolina Orthopaedic and Neurosurgical Associates
• Carolina Orthopaedic Center
• Carolina Pain Scrambler Center

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, 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 Aug 22, 2020; 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.