Columbia Children's Dentistry, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

COLUMBIA CHILDREN'S DENTISTRY, PA

Practice address

3731 Forest Dr
Columbia, SC 29204-4007

Phone

(803) 782-5492

NPI assigned

Jul 13, 2018

Last updated

Jul 13, 2018By 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

Michael Dover

Title

Officer

Phone

(803) 553-4560

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1932685872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044007",
            "telephone_number": "803-782-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044007",
            "telephone_number": "803-782-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA CHILDREN'S DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "DOVER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "803-553-4560"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Audiology Group
• Columbia Cardiology
• Columbia Cardiology, LLC
• Columbia Cardiology, LLC
• Columbia Central (Central Columbia)
• Columbia Colon and Rectal Surgeons
• Columbia Counseling Center and Associates (Columbia Counseling Center)
• Columbia Counseling Center/Columbia Behavioral Medicine, P.a.
• Columbia Dental Associates
• Columbia Dental Care

• Pediatric Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.