Organization Active NPI

Advanced Oral & Facial Specialist

  • Dental Clinic/Center
  • Aiken, SC
National Provider Identifier
1881138535
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6955 Issued in SC
Legal business name
ADVANCED ORAL & FACIAL SPECIALIST
Practice address
20 Tea Olive CT
Aiken, SC 29803-4715
Phone
(803) 648-0056
Fax
(803) 648-0057
NPI assigned
Dec 15, 2016
Last updated
Dec 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Ms. Margie Cervantes
Title
Administration
Phone
(803) 648-0056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6955 SC Primary

Addresses

Primary practice location

20 Tea Olive CT
Aiken, SC 29803-4715

Mailing address

20 Tea Olive CT
Aiken, SC 29803-4715
Phone (803) 648-0056

National Provider Directory

National Provider Directory

Locations

20 Tea Olive Ct
Aiken, SC 29803
Phone (803) 226-9472

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1881138535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TEA OLIVE CT",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298034715",
            "telephone_number": "803-648-0056",
            "fax_number": "803-648-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TEA OLIVE CT",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298034715",
            "telephone_number": "803-648-0056",
            "fax_number": "803-648-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORAL & FACIAL SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "803-648-0056",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "6955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.