NPIMap

Organization Active NPI

Dental Wellness Center Eb5 Investment VI LLC

  • General Practice Dentistry
  • Fort Mill, SC
National Provider Identifier
1639717010
Registry record updated Jan 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL WELLNESS CENTER EB5 INVESTMENT VI LLC
Practice address
749 Stockbridge Dr
Fort Mill, SC 29708-7200
Phone
(803) 335-5585
NPI assigned
Dec 16, 2019
Organization subpart
Yes
Parent organization
DENTAL WELLNESS CENTER EB5 INVESTMENT VI LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2020

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

Authorized official

Name
Shari Matthews
Title
Director of Operations
Phone
(843) 599-9590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

749 Stockbridge Dr
Fort Mill, SC 29708-7200

Mailing address

749 Stockbridge Dr
Fort Mill, SC 29708-7200
Phone (803) 335-5585

Other names 2

  • Angel Dental Fort Mill Doing business as
  • Dental Home EB5 Investment VI LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Dental Wellness Center Eb5 Investment VI LLC3 organizations share this tax ID, including this one
Part of
Dental Wellness Center Eb5 Investment VI LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578787200000",
    "number": "1639717010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 STOCKBRIDGE DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087200",
            "telephone_number": "803-335-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 STOCKBRIDGE DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087200",
            "telephone_number": "803-335-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL WELLNESS CENTER EB5 INVESTMENT VI LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL WELLNESS CENTER EB5 INVESTMENT VI LLC",
        "enumeration_date": "2019-12-16",
        "last_updated": "2020-01-12",
        "certification_date": "2020-01-12",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "843-599-9590"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Dental Fort Mill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Home EB5 Investment VI LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.