Organization Active NPI

DDS Services, LLC

Doing business as DDS Imaging Services

  • Oral and Maxillofacial Surgery (Dentist)
  • West Columbia, SC
National Provider Identifier
1710178793
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2941 Issued in SC
Legal business name
DDS SERVICES, LLC
Doing business as
DDS Imaging Services
Practice address
110 Medical LN E
Suite 115
West Columbia, SC 29169-4817
Phone
(803) 739-4805
Fax
(803) 739-4810
NPI assigned
Aug 6, 2007
Last updated
Aug 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Dr. James E. Mercer, DDSNPI 1417022914
Title
Ceo
Phone
(803) 739-4805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2941 SC Primary

Addresses

Primary practice location

110 Medical LN E
Suite 115
West Columbia, SC 29169-4817

Mailing address

110 Medical LN E
Suite 115
West Columbia, SC 29169-4817
Phone (803) 739-4805

Other names 1

  • DDS Imaging Services Doing business as

National Provider Directory

National Provider Directory

Locations

110 E Medical Ln
Ste 115
West Columbia, SC 29169
Phone (803) 739-4805

112 Saluda Ridge Ct
Ste 300
West Columbia, SC 29169
Phone (803) 739-4805

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1710178793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MEDICAL LN E",
            "address_2": "SUITE 115",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694817",
            "telephone_number": "803-739-4805",
            "fax_number": "803-739-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEDICAL LN E",
            "address_2": "SUITE 115",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694817",
            "telephone_number": "803-739-4805",
            "fax_number": "803-739-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-739-4805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "2941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DDS Imaging Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.