CAROLINAS CENTER FOR DENTAL IMPLANTS (NPI# 1306401948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306401948 |
Entity Type | Organization |
Organization Name | CAROLINAS CENTER FOR DENTAL IMPLANTS |
Practice Address |
280 Rocky Slope Rd Greenville SC 29607-3908 |
Mailing Address |
314 Union Station Dr Seneca SC 29678-4547 |
Practice Telephone | 8642529464 |
Practice Fax Number | 8644827510 |
Mailing Telephone | 8644827500 |
Mailing Fax Number | 8644827510 |
Enumeration Date | 2019-05-09 |
Last Update Date | 2019-05-09 |
Authorized Official Name | CRAIG HORTON (CO-OWNER) |
Authorized Official Telephone | 8644827500 |
Authorized Official Credential | DMD, MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers |
Street Address |
280 ROCKY SLOPE RD |
City | GREENVILLE |
State | SC |
Zip Code | 29607-3908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982628467 | Mary Charles Haigler | Dentist | 280 Rocky Slope Rd, Greenville, SC 29607-3908 | 2006-07-27 |
1396397501 | Ccofs Oral Surgery I, LLC | Oral & Maxillofacial Surgery | 280 Rocky Slope Rd, Greenville, SC 29607-3908 | 2019-07-09 |
1851730634 | Ashley Cannon Tankersley | Dentist | 280 Rocky Slope Rd, Greenville, SC 29607-3908 | 2013-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
Find all providers in zip 29607 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558799916 | Mahmoud Serag | Dentist | 2712 W Arlington Blvd Apt 206, Greenville, NC 27834-4115 | 2013-10-23 |
1639437163 | Keith A Mays | Dentist | Lakeside Annex 7, Ms 701, East Carolina University School of Dentistry, Greenville, NC 27834 | 2012-05-03 |
1457554974 | Stephen Patrick Schoen | Dentist | 10 Enterprise Boulevard, Suite 103, Greenville, SC 29615 | 2007-06-11 |
1932329182 | John A Crumpton Dmd Pa | Dentist | 36 Roper Corners Circle, Greenville, SC 29615 | 2007-04-30 |
1841365095 | Upstate Prosthodontics, L.L.C. | Dentist | 321 Mills Ave, Greenville, SC 29605-4021 | 2006-11-22 |
1104344241 | Moamen E Sheba | Dentist | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2017-09-08 |
1184975484 | Donald L Ridgell | Dentist | 321 Mills Ave, Greenville, SC 29605-4021 | 2012-09-26 |
1215180716 | John Anthony Crumpton Sr. | Dentist | 36 Roper Corners Circle, Greenville, SC 29615 | 2008-10-28 |
1548270747 | Michael James Smith | Dentist | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2006-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649818048 | Safa Tahmasebi | Dentist | 481 Munn Rd Ste 100, Fort Mill, SC 29715-0014 | 2019-12-16 |
1336657386 | Candice Marie Vinson | Dentist | 1149 Oakland Market Rd, Mount Pleasant, SC 29466-8220 | 2018-01-11 |
1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
1831580620 | Bryan A Lara | Dentist | 110 Auston Woods Cir, Apt U, Easley, SC 29640-4301 | 2015-02-15 |
1497146906 | Palmetto Prosthodontics, LLC | Dentist | 145 Woodruff Place Cir, Simpsonville, SC 29681-3672 | 2015-02-05 |
1255631214 | Steven Gordon Lewis | Dentist | 481 Munn Rd, Suite 100, Fort Mill, SC 29715-8408 | 2010-10-25 |
1598929408 | Mayur Mahendra Patel | Dentist | 682 Johnnie Dodds Blvd, Suite 102, Mt Pleasant, SC 29464-3028 | 2008-07-10 |
1295999100 | Kenneth Steven Barrack | Dentist | 682 Johnnie Dodds Blvd Ste 102, Mt Pleasant, SC 29464-3028 | 2008-07-10 |
1487812327 | Virgil Vacarean | Dentist | 25 Clark Summit Dr Ste 100, Bluffton, SC 29910-4999 | 2008-05-28 |
1003086224 | Adam M Clark | Dentist | 1416 Ashley River Rd, Atlantic Aesthetics, Charleston, SC 29407-5306 | 2008-03-04 |
Find all providers with the same taxonomy |
City | GREENVILLE |
Zip Code | 29607 |
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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.