NPIMap

Organization Active NPI

Crescent Family and Cosmetic Dentistry

  • General Practice Dentistry
  • Sumter, SC
National Provider Identifier
1730909276
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CRESCENT FAMILY AND COSMETIC DENTISTRY
Practice address
434 N Guignard Dr
Sumter, SC 29150-4011
Phone
(803) 773-5411
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Dr. Thaddeus Houck Vincent Jr., DMDNPI 1225232788
Title
Doctor/Owner
Phone
(803) 773-5411

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

434 N Guignard Dr
Sumter, SC 29150-4011

Mailing address

434 N Guignard Dr
Sumter, SC 29150-4011
Phone (803) 773-5411

Other practice location 1

656 Bultman Dr
Sumter, SC 29150-2550
Phone (803) 778-2337

Other practice location 2

1211 Greenlawn Dr
Columbia, SC 29209-2631
Phone (803) 783-1198

National Provider Directory

National Provider Directory

Locations

1211 Greenlawn Dr
Columbia, SC 29209
Phone (803) 783-1198

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1730909276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 N GUIGNARD DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504011",
            "telephone_number": "803-773-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 N GUIGNARD DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504011",
            "telephone_number": "803-773-5411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "656 Bultman Dr",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291502550",
            "country_code": "US",
            "telephone_number": "803-778-2337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1211 Greenlawn Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292092631",
            "country_code": "US",
            "telephone_number": "803-783-1198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRESCENT FAMILY AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_middle_name": "HOUCK",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "803-773-5411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.