MIDLANDS TECHNICAL COLLEGE DENTAL CLINIC (NPI# 1386862191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386862191 |
| Entity Type | Organization |
| Organization Name | MIDLANDS TECHNICAL COLLEGE DENTAL CLINIC |
| Practice Address |
1260 Lexington Dr West Columbia SC 29170-2176 |
| Practice Telephone | 8038223450 |
| Practice Fax Number | 8038223079 |
| Mailing Telephone | 8038223450 |
| Mailing Fax Number | 8038223079 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARTHA HANKS (DIRECTOR) |
| Authorized Official Telephone | 8038223451 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2579 | SC | Dental Providers |
| Street Address |
1260 LEXINGTON DR |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29170-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669696902 | Nancy Patricia Hudson | Registered Nurse | 1260 Lexington Dr, Department of Nursing, West Columbia, SC 29170-2176 | 2007-04-11 |
| 1093922908 | Gina Holland Ormond | Dentist | 1260 Lexington Dr, West Columbia, SC 29170-2176 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104344993 | Holly Helms | Specialist/Technologist | 519 Dickson Hill Circle, West Columbia, SC 29170 | 2017-09-01 |
| 1336524115 | Mary C Ward | Nurse Practitioner | 3316 Plattsprings Rd, West Columbia, SC 29170 | 2015-07-22 |
| 1215379680 | Ethan Knight | Pharmacist | 244 Stonewood Court, West Columbia, SC 29170 | 2013-07-25 |
| 1376827238 | Myra Jones | Community Health Worker | 1059 Meeting St., West Columbia, SC 29170 | 2011-10-10 |
| 1043425234 | Autumn R Zamudio | Nurse's Aide | 1118 W. Fairfiled Dr., W. Columbia, SC 29170 | 2007-05-11 |
| 1477623791 | Deno Stavros Chrysostom | Dentist | 3308 Platt Springs Rd, West Columbia, SC 29170 | 2006-11-08 |
| 1760578280 | James Horace Phillips Jr. | Pharmacist | 3901 Edmund Rd, Suite D, West Columbia, SC 29170 | 2006-10-04 |
| 1457379901 | Lexington County Health Services District, Inc. | Family Medicine | 3314 Platt Springs Rd, West Columbia, SC 29170 | 2006-07-17 |
| 1558891861 | Three Rivers Residential Treatment Midlands Campus | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170 | 2017-06-19 |
| 1699155119 | Michael Stewart Comer | Family Medicine | 3314 Platt Springs Rd, West Columbia, SC 29170 | 2015-06-01 |
| Find all providers in zip 29170 | ||||
| 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 |
|---|---|---|---|---|
| 1013256627 | Dr. George H. Fann, D.m.d., P.a. | Dentist | 111 Professional Ave, West Columbia, SC 29169-4711 | 2013-02-04 |
| 1962741678 | Renee G Shongo | Dentist | 163 Medical Cir, West Columbia, SC 29169-3655 | 2013-02-01 |
| 1487876090 | Carlos Smith Dmd Pa | Dentist | 3244 Sunset Blvd., West Columbia, SC 29168-3428 | 2007-05-03 |
| 1861531790 | Joseph Edward Dupree IIi | Dentist | 2315 Sunset Blvd # B, West Columbia, SC 29169-4715 | 2007-02-06 |
| 1093867038 | Pauline Spencer | Dentist | 503 Dance Dr, West Columbia, TX 77486-4019 | 2007-01-18 |
| 1700935467 | William Ray Flemming Jr. | Dentist | 3935 Sunset Blvd Ste D, West Columbia, SC 29169-2403 | 2007-01-10 |
| 1043371339 | Michael Wayne Sturkie Jr. | Dentist | 3901 Edmund Hwy, Suite C, West Columbia, SC 29170-1944 | 2006-12-12 |
| 1740356260 | R Boyd Hendrix Dmd Pa | Dentist | 1534 Platt Springs Road, West Columbia, SC 29169 | 2006-11-27 |
| 1821160409 | Terry L Driggers | Dentist | 505 Dance Drive, West Columbia, TX 77486 | 2006-11-15 |
| 1477623791 | Deno Stavros Chrysostom | Dentist | 3308 Platt Springs Rd, West Columbia, SC 29170 | 2006-11-08 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29170 |
Please comment or provide details below to improve the information on MIDLANDS TECHNICAL COLLEGE DENTAL CLINIC.
| 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.