Carolina Smile Studio Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8065 Issued in SC

Legal business name

CAROLINA SMILE STUDIO FAMILY DENTISTRY

Practice address

101 Wildewood Park Dr
Ste a
Columbia, SC 29223-4319

Phone

(803) 393-4600

Fax

(803) 393-4464

NPI assigned

Oct 14, 2014

Last updated

Oct 14, 2014By 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

Shruti Patel, DDSNPI 1639328859

Title

Owner

Phone

(803) 393-4600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shruti J Patel, DDS

  • General Practice Dentistry
  • Columbia, SC
  • NPI 1639328859
  NPD (past) Authorized official

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1659775070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WILDEWOOD PARK DR",
            "address_2": "STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234319",
            "telephone_number": "803-393-4600",
            "fax_number": "803-393-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILDEWOOD PARK DR",
            "address_2": "STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234319",
            "telephone_number": "803-393-4600",
            "fax_number": "803-393-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SMILE STUDIO FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHRUTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-393-4600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "8065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Pulmonary & Critical Care
• Carolina Retina Center P.a.
• Carolina Roses of Blythewood LLC (Carolina Roses)
• Carolina Shoulder and Knee Specialists LLC
• Carolina Sleep Institue LLC
• Carolina Spine and Ortho LLC
• Carolina Therapeutic Services, Inc (CTSHealth)
• Carolina Ultrasound Services LLC
• Carolina Women's Physical Therapy and Wellness
• India Carolina

• Dental Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.