James Matthew Candon III, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

9104 Issued in SC

Practice address

2012 Bridgemill Dr Ste 108
Indian Land, SC 29707-9221

Phone

(803) 650-3925

Fax

(803) 650-3926

NPI assigned

May 31, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James Candon, DDS, LLC

  dba BridgeMill Dental Care

  • Dental Clinic/Center
  • Indian Land, SC
  • NPI 1265087498
  NPD Authorized official

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1972951028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 BRIDGEMILL DR STE 108",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297079221",
            "telephone_number": "803-650-3925",
            "fax_number": "803-650-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 BRIDGEMILL DR STE 108",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297079221",
            "telephone_number": "803-650-3925",
            "fax_number": "803-650-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDON",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0171156",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Marie Caffrey-Thrasher, LAC. DIPLAC, MAC
• Stephen Calderalo
• Calloway Primary Care & Wellness LLC
• Cassandra Nicole Calloway, FNP
• Orville Lee Campbell, PA-C
• Kerri Carder, M.S. CCC-SLP
• Caregivers of Carolina LLC
• Matthew Richard Carlisle, DMD
• Carolina Integrative Health Care LLC (Carolina Integrative Health Care)
• Carolina Orthopaedic Surgery Associates, PA

• Dentist in Indian Land, SC
• Providers in Indian Land, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.