Triad Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TRIAD DENTAL GROUP

Doing business as

The Bright Smile Center

Practice address

3425 Highway 153
Piedmont, SC 29673-7725

Phone

(864) 295-8678

Fax

(864) 295-8607

NPI assigned

Oct 2, 2012

Organization subpart

No

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

Authorized official

Name

Jennifer Mitchell

Title

Administrative Assistant

Phone

(864) 706-1651

Specialties & licenses 1

Addresses

Other names 1

• The Bright Smile Center Doing business as

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1518218486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BURTON ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015400",
            "telephone_number": "864-576-7169",
            "fax_number": "864-576-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 HIGHWAY 153",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296737725",
            "telephone_number": "864-295-8678",
            "fax_number": "864-295-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "864-706-1651"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bright Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tommy Douglas Thomason, DC
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• Donna Gray Tingle, LPC
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• Russell Chadwick Trotter, D.C.
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• General Practice Dentistry in Piedmont, SC
• Providers in Piedmont, 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 Oct 2, 2012; 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.