Carolina Oaks Oconee 2, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CAROLINA OAKS OCONEE 2, LLC

Practice address

107 N Earle St
Walhalla, SC 29691-2419

Phone

(585) 186-4638

NPI assigned

Jul 20, 2020

Last updated

Jul 20, 2020By 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

Marc D Workman, DMD

Title

Member

Phone

(864) 235-3949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1801404520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S PLEASANTBURG DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072522",
            "telephone_number": "864-235-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N EARLE ST",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "296912419",
            "telephone_number": "585-186-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA OAKS OCONEE 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "864-235-3949",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget C Briley, MS SSP
• Brooke Allison Brittain, MS, RD, LD, CHES
• Sidney R Bryson, DMD
• Gary Douglas Cabbage, LPC
• Ron Calvert, R.PH.
• Alison Crocker Chiles, RN
• Clemson University
• Clemson University
• Erica C Cleveland, LPC INTERN
• Barbara Cooper, PH.D.

• Dental Clinic/Center in Walhalla, SC
• Providers in Walhalla, 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 Jul 20, 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.