GOLDEN CORNER DENTISTRY, LLC (NPI# 1447634597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447634597 |
Entity Type | Organization |
Organization Name | GOLDEN CORNER DENTISTRY, LLC |
Practice Address |
102 Lusk Dr West Union SC 29696-2629 |
Mailing Address |
Po Box 1778 West Union SC 29696-1778 |
Practice Telephone | 8646387733 |
Practice Fax Number | 8647187162 |
Mailing Telephone | 8646387733 |
Mailing Fax Number | 8647187162 |
Enumeration Date | 2015-07-17 |
Last Update Date | 2015-07-17 |
Authorized Official Name | JAMES BRUCE (DENTIST/OWNER) |
Authorized Official Telephone | 8646387733 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
4506 | SC | Dental Providers |
Street Address |
102 LUSK DR |
City | WEST UNION |
State | SC |
Zip Code | 29696-2629 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306963178 | Thomas Otis Bowen Jr. | Dentist | 102 Lusk Dr, West Union, SC 29696-2629 | 2007-03-24 |
1518502152 | Nathan John Ewoldt | Dentist | 102 Lusk Dr, West Union, SC 29696-2629 | 2019-11-07 |
1245890532 | Golden Corner Dental, LLC | Clinic/Center | 102 Lusk Dr, West Union, SC 29696-2629 | 2019-06-18 |
1396862173 | C Fred Marcinak Jr. | Dentist | 102 Lusk Dr, West Union, SC 29696-2629 | 2007-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720450075 | The Truth Outreach | Clinic/Center | 185 Cornerstone Drive, West Union, SC 29696 | 2015-10-27 |
1043470966 | Marie Maude Sussman | Nurse Practitioner | 1205 N Hwy 11, West Union, SC 29696 | 2008-06-13 |
1699955898 | Kimberly Hart Lauer | Physical Therapist | 148 Foothills Center Dr Ste 148&150, West Union, SC 29696 | 2007-11-06 |
1164583183 | C Fred Marcinak Dmd Pa | Dentist | 102 Lusk Drive, West Union, SC 29696 | 2006-12-13 |
1700814522 | Frederick Harold Alexander Jr. | Pharmacist | 180 Scenic Hwy, West Union, SC 29696 | 2006-06-29 |
1457535072 | Gregory Norwood Winburn | Physical Therapist | 148 Foothills Ctr Dr, Ste 148, West Union, SC 29696 | 2007-12-18 |
1588732572 | Jeffrey Wayne Pierce | Physical Therapist | 148 Foothills Ctr Dr, Ste 148, West Union, SC 29696 | 2006-11-30 |
1740295690 | Ingles Markets Inc | Pharmacy | 180 Scenic Hwy, West Union, SC 29696 | 2006-07-29 |
1366052490 | Casey Bishe | Physical Therapist | 148 Foothills Center Dr # 148, West Union, SC 29696-2518 | 2020-08-04 |
1528489671 | Thomas John Chestnut | Physical Therapist | 148 Foothills Center Dr Ste 148, West Union, SC 29696-2518 | 2013-12-16 |
Find all providers in zip 29696 |
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 |
---|---|---|---|---|
1083020044 | Benjamin Mcdonald | Dentist | 7750 Ohio 125, West Union, OH 45693 | 2014-07-10 |
1841417250 | Ohio Valley Dental Care LLC | Dentist | 114 W North St, West Union, OH 45693-1021 | 2007-04-19 |
1306963178 | Thomas Otis Bowen Jr. | Dentist | 102 Lusk Dr, West Union, SC 29696-2629 | 2007-03-24 |
1417029208 | Cameron John Elmer | Dentist | 104 N Walnut St, West Union, IA 52175-1347 | 2006-11-15 |
1598865032 | Brian Terry | Dentist | 153 Scenic Plaza Dr, West Union, SC 29696-2536 | 2006-09-24 |
1134224710 | Anthony D Harless | Dentist | 818 Ne Main St, West Union, OH 45693-1111 | 2006-09-14 |
1619255593 | Joseph Marshall Atcheson | Dentist | 153 Scenic Plaza Dr, West Union, SC 29696-2536 | 2011-07-27 |
1396862173 | C Fred Marcinak Jr. | Dentist | 102 Lusk Dr, West Union, SC 29696-2629 | 2007-03-25 |
1679654826 | Alton Barnett | Dentist | 153 Scenic Plaza Dr, West Union, SC 29696-2536 | 2006-10-17 |
1730274663 | Oconee Dental Associates,llc | Dentist | 153 Scenic Plaza Dr, West Union, SC 29696-2536 | 2006-10-04 |
Find all providers in WEST UNION |
City | WEST UNION |
Zip Code | 29696 |
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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.