Palmetto Mobile Dental Centers LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PALMETTO MOBILE DENTAL CENTERS LLC

Practice address

1703 Laurel St
Columbia, SC 29201-2660

Phone

(615) 225-0945

Fax

(615) 225-8915

NPI assigned

Oct 24, 2017

Last updated

Oct 24, 2017By 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

Mark Napper, CEO

Title

Authorized Official

Phone

(615) 225-0945

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1588175087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332640",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371332640",
            "telephone_number": "615-225-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012660",
            "telephone_number": "615-225-0945",
            "fax_number": "615-225-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO MOBILE DENTAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "NAPPER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-225-0945",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Columbia, SC
• Providers in Columbia, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.