Active NPI
Cambridge Dental Associates, LLC
- General Practice Dentistry
- Greenwood, SC
National Provider Identifier
1487890299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1607
- Legal business name
- CAMBRIDGE DENTAL ASSOCIATES, LLC
- Practice address
- 303 W Alexander Ave
Suite D-1
Greenwood, SC 29646-4078 - Phone
- (864) 229-5885
- Fax
- (864) 229-1002
- NPI assigned
- Dec 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald Lee Underwood, D.M.D.
- Title
- President
- Phone
- (864) 229-5885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1607 | SC | Primary |
Addresses
Primary practice location
303 W Alexander Ave
Suite D-1
Greenwood, SC 29646-4078
Mailing address
303 W Alexander Ave
Suite D-1
Greenwood, SC 29646-4078
Phone (864) 229-5885
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Greenwood, SC
- NPI 1932345642
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230508800000",
"number": "1487890299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 W ALEXANDER AVE",
"address_2": "SUITE D-1",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296464078",
"telephone_number": "864-229-5885",
"fax_number": "864-229-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 W ALEXANDER AVE",
"address_2": "SUITE D-1",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296464078",
"telephone_number": "864-229-5885",
"fax_number": "864-229-1002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMBRIDGE DENTAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-29",
"last_updated": "2008-12-29",
"status": "A",
"authorized_official_last_name": "UNDERWOOD",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-229-5885",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "1607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.