PIEDMONT DENTAL CENTER (NPI# 1104929116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104929116 |
| Entity Type | Organization |
| Organization Name | PIEDMONT DENTAL CENTER |
| Other Organization Name | CHARLESTON DENTURE CENTER COLUMBIA DENTURE CENTER |
| Practice Address |
975 North Church Street Spartanburg SC 29303 |
| Practice Telephone | 8645824308 |
| Practice Fax Number | 8645964492 |
| Mailing Telephone | 8645824308 |
| Mailing Fax Number | 8645964492 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ANGIE B WEBB (ASST OFFICE MANAGER) |
| Authorized Official Telephone | 8645824308 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZA9992 | 05 |
| Other Name | Type Code |
|---|---|
| Charleston Denture Center Columbia Denture Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326118464 | Piedmont Dental Center | Dentist | 975 N Church St, Spartanburg, SC 29303-4104 | 2006-11-08 |
| Street Address |
975 NORTH CHURCH STREET |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467565770 | Donald G Williams | Dentist | 975 North Church Street, Spartanburg, SC 29303 | 2006-08-17 |
| 1033229042 | Donald G Gregory | Dentist | 975 North Church Street, Spartanburg, SC 29303 | 2006-08-30 |
| 1912011636 | Adam D Rutter | Dentist | 975 North Church Street, Spartanburg, SC 29303 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437503364 | Mallory Jo Nyenhuis | Dentist | 3106 Reidville Rd, Spartanburg, SC 29301-5644 | 2016-04-18 |
| 1891136404 | Savannah Jo Reynolds | Dentist | 1490 W O Ezell Blvd, Spartanburg, SC 29301-1553 | 2013-07-11 |
| 1710222021 | Brian D. Ray Dmd | Dentist | 1256 Boiling Springs Road, Spartanburg, SC 29303 | 2012-11-28 |
| 1356505200 | Holly W Wright | Dentist | 240 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2008-07-10 |
| 1083818587 | James Daniel Hill | Dentist | 301 N Pine St, Spartanburg, SC 29302-1600 | 2007-06-11 |
| 1053457960 | Lawrence Gary Miller Jr. | Dentist | 263 California Ave, Spartanburg, SC 29303-2271 | 2007-01-29 |
| 1710040043 | Brian D Ray | Dentist | 1256 Boiling Springs Rd, Spartanburg, SC 29303 | 2006-12-18 |
| 1447236351 | Kevin Lamont Williams | Dentist | 111 Westview Blvd, Spartanburg, SC 29306-4132 | 2005-12-22 |
| 1871101667 | Allen Timothy Lollis | Dentist | 631 N Church St, Spartanburg, SC 29303-3046 | 2020-07-17 |
| 1073174025 | Katherine Alexandra Pischke-thomas | Dentist | 2455 E Main St, Spartanburg, SC 29307-1415 | 2019-06-20 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
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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.