Forest Acres Dental Care, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3327 Issued in SC

Legal business name

FOREST ACRES DENTAL CARE, P.A.

Practice address

5101 Forest Dr
Columbia, SC 29206-4962

Phone

(803) 782-8786

Fax

(803) 782-6682

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. M. Caroline Jones Gutierrez, D.M.D.

Title

Owner

Phone

(803) 782-8786

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1780879247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6468",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292606468",
            "telephone_number": "803-782-8786",
            "fax_number": "803-782-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064962",
            "telephone_number": "803-782-8786",
            "fax_number": "803-782-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST ACRES DENTAL CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "M. CAROLINE",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-782-8786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Marie Forehand, APRN
• Ashley Foreman, MD
• Foreseeable Future
• Forest Acres Community Healthcare, LLC
• Forest Acres Counseling Center LLC
• Forest Acres Dentistry
• Forest Acres Well Care
• Forest Drive Dental Care, P.a.
• Forest Drive Physicians
• Forest Drive Primary Care

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.