Organization Active NPI

Smith Dental Care of South Carolina

  • Dentist
  • Anderson, SC
National Provider Identifier
1508258336
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7048 Issued in SC
Legal business name
SMITH DENTAL CARE OF SOUTH CAROLINA
Practice address
2126A N Highway 81
Anderson, SC 29621-1532
Phone
(864) 332-9753
Fax
(864) 332-9754
NPI assigned
Mar 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Dr. Charles Melvin Smith Jr., DMD
Title
Dentist/Owner
Phone
(864) 332-9753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7048 SC Primary

Addresses

Primary practice location

2126A N Highway 81
Anderson, SC 29621-1532

Mailing address

259 Athens St
Hartwell, GA 30643-1854
Phone (706) 376-2345

National Provider Directory

National Provider Directory

Locations

2126A Highway 81 N
Anderson, SC 29621
Phone (864) 332-9753

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1508258336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 ATHENS ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431854",
            "telephone_number": "706-376-2345",
            "fax_number": "706-376-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126A N HIGHWAY 81",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211532",
            "telephone_number": "864-332-9753",
            "fax_number": "864-332-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH DENTAL CARE OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "864-332-9753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "7048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.