DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. (NPI# 1326532268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326532268 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. |
| Other Organization Name | INDIAN LAND DENTAL CARE |
| Practice Address |
7748 Charlotte Hwy Indian Land SC 29707-9654 |
| Practice Telephone | 2175405100 |
| Mailing Telephone | 0374640338 |
| Mailing Fax Number | 8037464040 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175408426 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Indian Land Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
| 1023627619 | Dental Professional of South Carolina, P.C. | Dentist | 702 Hopewell Dr, Charleston, SC 29492-7102 | 2020-07-29 |
| 1619517463 | Dental Professional of South Carolina, P.C. | Dentist | 1135 Muhlenbergia Dr, Mt Pleasant, SC 29466-7586 | 2020-01-09 |
| 1104467224 | Dental Professional of South Carolina, P.C. | Dentist | 2749 Agnes Ln, Myrtle Beach, SC 29577-2029 | 2019-09-30 |
| 1578034369 | Dental Professional of South Carolina, P.C. | Dentist | 2373 Len Patterson Rd Ste 103, Fort Mill, SC 29708-8266 | 2018-12-06 |
| 1972073831 | Dental Professional of South Carolina, P.C. | Dentist | 2800 Woodruff Rd, Simpsonville, SC 29681-4806 | 2018-12-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1700375508 | Dental Professional of South Carolina, P.C. | Dentist | 370 Buckwalter Pkwy, Bluffton, SC 29910-5151 | 2018-05-07 |
| 1811406895 | Dental Professional of South Carolina, P.C. | Dentist | 789 Hammett Bridge Rd, Greer, SC 29650-2509 | 2017-09-22 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| Street Address |
7748 CHARLOTTE HWY |
| City | INDIAN LAND |
| State | SC |
| Zip Code | 29707-9654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053936914 | Cody Stephen Miller | Dentist | 7748 Charlotte Hwy, Indian Land, SC 29707-9654 | 2020-06-16 |
| 1720573090 | Christian Jose Alegria | Dentist | 7748 Charlotte Hwy, Indian Land, SC 29707-9654 | 2018-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535844 | Anomaly Bodywork & Wellness Center, LLC | Massage Therapist | 4068 Flats Main Street, Apt 100, Indian Land, SC 29707 | 2020-10-15 |
| 1164034369 | Renu Kapoor Virdi | Dentist | 9709 Redstone Dr, Ste 500, Indian Land, SC 29707 | 2020-08-19 |
| 1205467420 | Brian Keith Sutton | Physical Therapist | 2021 Bridgemill Dr, Ste 106, Indian Land, SC 29707 | 2020-01-27 |
| 1215575774 | Doby's Bridge Dentistry | Dentist | 4174 Dobys Brige Road Ste 100, Indian Land, SC 29707 | 2019-12-16 |
| 1346895141 | Redstone Modern Dentistry, PC | Dentist | 9709 Redstone Dr., Suite 500, Indian Land, SC 29707 | 2019-08-08 |
| 1396228698 | Daniel Allen | Massage Therapist | 4068 Flats Main St, Apt 100, Indian Land, SC 29707 | 2018-09-12 |
| 1598269409 | Dawn K Beatty-batten | Occupational Therapy Assistant | The Blake At Edgewater, 1099 Edgewater Corporate Parkway, Indian Land, SC 29707 | 2018-03-23 |
| 1366940959 | Kds Consultants, LLC | Family Medicine | 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707 | 2018-01-29 |
| 1093227464 | Ivision Associates LLC | Optometrist | 9700 Red Stone Drive Suite 300, Indian Land, SC 29707 | 2017-10-25 |
| 1396274742 | Carson Tyler Mcginn | Specialist/Technologist | 8690 Henry Harris Rd., Fort Mill, SC 29707 | 2017-06-08 |
| Find all providers in zip 29707 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164034369 | Renu Kapoor Virdi | Dentist | 9709 Redstone Dr, Ste 500, Indian Land, SC 29707 | 2020-08-19 |
| 1215575774 | Doby's Bridge Dentistry | Dentist | 4174 Dobys Brige Road Ste 100, Indian Land, SC 29707 | 2019-12-16 |
| 1053802702 | Kimia Eftekhar | Dentist | 10092 Charlotte Hwy Ste 107, Indian Land, SC 29707-7202 | 2018-05-29 |
| 1568814697 | Michael Arthur Marshall | Dentist | 1028 Edgewater Corporate Pkwy Ste 101, Indian Land, SC 29707 | 2016-07-13 |
| 1144674631 | Carolina Smile Dentistry, LLC | Dentist | 8390 Charlotte Hwy Ste 300, Indian Land, SC 29707-6563 | 2016-04-20 |
| 1871964015 | Dental Professionals of South Carolina, PC | Dentist | 1028 Edgewater Corp. Pkwy, Suite 101, Indian Land, SC 29707 | 2015-10-14 |
| 1386903995 | G. Abrams & R. Cohen S.c. 2 PC | Dentist | 10092 Charlotte Hwy, Suite 107, Indian Land, SC 29707-7135 | 2012-05-16 |
| 1811197460 | Cedrick Brown Mcdonald | Dentist | 9787 Charlotte Hwy, Suite 201, Indian Land, SC 29707-8103 | 2007-07-23 |
| 1053936914 | Cody Stephen Miller | Dentist | 7748 Charlotte Hwy, Indian Land, SC 29707-9654 | 2020-06-16 |
| 1346489564 | Valerie L. Yaniszewski, Dmd, PC | Dentist | 6237 Carolina Commons Dr, Suite 301, Indian Land, SC 29707-6014 | 2009-02-11 |
| Find all providers in INDIAN LAND | ||||
| City | INDIAN LAND |
| Zip Code | 29707 |
Please comment or provide details below to improve the information on DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C..
| 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.