Organization Active NPI

David Urbanawiz, DMD, LLC

Doing business as Southern Magnolia Dentistry

  • Dental Clinic/Center
  • Aiken, SC
National Provider Identifier
1952086027
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DAVID URBANAWIZ, DMD, LLC
Doing business as
Southern Magnolia Dentistry
Practice address
598 Silver Bluff Rd Ste 1
Aiken, SC 29803-6012
Phone
(803) 648-9511
NPI assigned
Jun 16, 2023
Last updated
Jun 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Dr. David Edward Urbanawiz, DMDNPI 1053837807
Title
Owner
Phone
(803) 648-9511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

598 Silver Bluff Rd Ste 1
Aiken, SC 29803-6012

Mailing address

598 Silver Bluff Rd Ste 1
Aiken, SC 29803-6012
Phone (803) 648-9511

Other names 1

  • Southern Magnolia Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

598 Silver Bluff Rd
#1
Aiken, SC 29803
Phone (803) 648-9511

Practitioners & affiliated clinicians

Practitioners 1

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": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1952086027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 SILVER BLUFF RD STE 1",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036012",
            "telephone_number": "803-648-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 SILVER BLUFF RD STE 1",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036012",
            "telephone_number": "803-648-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID URBANAWIZ, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "URBANAWIZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-648-9511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Magnolia Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 2023; 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.