Elite Smiles Dental, PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ELITE SMILES DENTAL, PA

Practice address

9020 Farrow Rd
Columbia, SC 29203-9773

Phone

(803) 419-5002

Fax

(803) 419-9600

NPI assigned

May 28, 2019

Last updated

Dec 19, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

ELITE SMILES DENTAL, PAAs reported in NPPES

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

Authorized official

Name

Andrew Gerald Gambrell, DMDNPI 1730220112

Title

President

Phone

(803) 419-5002

Specialties & licenses 1

Addresses

Locations

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.

• Andrew G Gambrell, DMD

  • General Practice Dentistry
  • Columbia, SC
  • NPI 1730220112

  Durable Medical Equipment & Medical Supplies

  NPD (past) Authorized official
• Carl J Lockwood, DMD

  • General Practice Dentistry
  • Columbia, CA
  • NPI 1225059645
  NPD (past)

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1801453675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039773",
            "telephone_number": "803-419-5002",
            "fax_number": "803-419-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039773",
            "telephone_number": "803-419-5002",
            "fax_number": "803-419-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SMILES DENTAL, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE SMILES DENTAL, PA",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "GAMBRELL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-419-5002",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaliya Elford
• Elgin Podiatry Institute, LLC
• Elim Healthcare Agency
• Elite Health Care Inc
• Elite Smiles Dental, P.a.
• Elite Transformant Solutions (Right On Time)
• Elite Urgent Care LLC
• Elizabeth Corbett, LLC
• Elizabeth H Jeffords MD PA
• Mohammed Elkadim

• Durable Medical Equipment & Medical Supplies in Columbia, SC
• Providers in Columbia, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.