DR. ROBERT JAY GOHEAN (NPI# 1043370182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043370182 |
| Entity Type | Individual |
| Full Name | DR. ROBERT JAY GOHEAN |
| Credential | DMD |
| Practice Address |
130 Stonemark Lane Columbia SC 29210-3841 |
| Practice Telephone | 8037988476 |
| Practice Fax Number | 8037986451 |
| Mailing Telephone | 8037988476 |
| Mailing Fax Number | 8037986451 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
0368 | SC | Dental Providers |
| Street Address |
130 STONEMARK LANE |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124107297 | Craig Thomas Luccy | Dentist | 130 Stonemark Lane, Carolina Endodontics, Columbia, SC 29210 | 2006-11-02 |
| 1508924705 | Carolina Endodontics | Dentist | 130 Stonemark Lane, Columbia, SC 29210-3841 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568775468 | Kool Smiles Sc-2, PC | Dentist | 5422 Forest Dr, Columbia, SC 29206-5412 | 2010-07-20 |
| 1972733624 | Robert P Bethea | Dentist | 34 Lakeview Cir, Columbia, SC 29206-3214 | 2009-07-15 |
| 1861687840 | S. Craig Schneider | Dentist | 8885 Centre Park Dr Ste 2e, Columbia, MD 21045-2199 | 2007-09-12 |
| 1285760686 | Warren Amedeo Lawson | Dentist | 601 W Nifong Blvd Ste 4b, Columbia, MO 65203-6804 | 2007-02-27 |
| 1497894588 | Fred L. Sykes | Dentist | 7024 Brookfield Rd, Columbia, SC 29223-2211 | 2007-02-05 |
| 1760560221 | Christopher Patrick Mchugh | Dentist | 130 Stonemark Ln, Columbia, SC 29210-3841 | 2006-11-01 |
| 1699790410 | William Trent Gillespie | Dentist | 618 Ott Rd, Columbia, SC 29205-2722 | 2006-07-13 |
| 1063465136 | Todd Reed Barrett | Dentist | 4023 Forest Dr, Columbia, SC 29204-4313 | 2006-05-18 |
| 1457810707 | De Endodontics | Dentist | 8808 Centre Park Dr Ste 210, Columbia, MD 21045-2221 | 2019-03-17 |
| 1679955165 | Mid-cumberland Endodontics | Dentist | 1324 Trotwood Ave, Suite #2, Columbia, TN 38401-4750 | 2015-06-22 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.