Sequoia Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SEQUOIA DENTAL, LLC

Doing business as

Mauldin Square Dental

Practice address

211 E Butler Rd Ste B3
Mauldin, SC 29662-2170

Phone

(864) 297-6432

NPI assigned

Jul 19, 2022

Organization subpart

No

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

Authorized official

Name

Mr. John Robinson

Title

Owner

Phone

(803) 833-6375

Specialties & licenses 1

Addresses

Other names 1

• Mauldin Square Dental Doing business as

Locations

Practitioners 1

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

• Christopher A Hillman, DMD

  • General Practice Dentistry
  • Mauldin, SC
  • NPI 1679076954
  NPD (past)

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1871228437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104B WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E BUTLER RD STE B3",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622170",
            "telephone_number": "864-297-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-833-6375",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mauldin Square Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Fiona Sazo, BCBA
• Deborah S Scarlett, CCC-SLP
• Stefanie L Scott
• Caitlin Segriff, LMFT
• Melvin Hank Seid, MD
• Serenity Home Health Care
• Gianna Serradimigni
• Kristen Sessions
• Set Apart Health LLC
• SH Counseling and Consulting, LLC

• General Practice Dentistry in Mauldin, SC
• Providers in Mauldin, 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 Jul 19, 2022; 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.