Fort Mill Dobys Bridge Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FORT MILL DOBYS BRIDGE DENTAL LLC

Practice address

1500 Fort Mill Pkwy #108
Fort Mill, SC 29715

Phone

(609) 915-8351

NPI assigned

Mar 17, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Pushpinder Kaur, DDSNPI 1902964620

Title

Dentist

Phone

(609) 915-8351

Specialties & licenses 1

Addresses

Other names 1

• FORT MILL DENTAL Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pushpinder Kaur, DDS

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1902964620
  NPD Authorized official

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1730715293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 CLEMS BRANCH DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774360",
            "telephone_number": "609-915-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FORT MILL PKWY #108",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29715",
            "telephone_number": "609-915-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MILL DOBYS BRIDGE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "PUSHPINDER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "609-915-8351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORT MILL DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terrance Ford, RBT
• Tuchana Ford
• Mallary Campbell Forrest, D.D.S.
• Fort Mill Chiropractic Health Center, P.a.
• Fort Mill Dermatology, LLC
• Fort Mill Home Care
• Fort Mill Neurology, LLC
• Fort Mill Optical Inc
• Fort Mill Pharmacy
• Fort Mill Rescue Squad

• Dental Clinic/Center in Fort Mill, SC
• Providers in Fort Mill, 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 Mar 17, 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.