DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. (NPI# 1487902342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487902342 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. |
| Other Organization Name | DENTAL CARE OF BOILING SPRINGS |
| Practice Address |
2210 Boiling Springs Rd Boiling Springs SC 29316-5302 |
| Practice Telephone | 8646999858 |
| Practice Fax Number | 8646999863 |
| Mailing Telephone | 8646999858 |
| Mailing Fax Number | 8646999863 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |
| Authorized Official Name | PAM HARDIEK (INSURANCE/CREDENTIALING) |
| Authorized Official Telephone | 2175405100 |
| 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 |
|---|---|
| Dental Care of Boiling Springs | 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 |
| 1326532268 | Dental Professional of South Carolina, P.C. | Dentist | 7748 Charlotte Hwy, Indian Land, SC 29707-9654 | 2018-06-14 |
| 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 |
| Street Address |
2210 BOILING SPRINGS RD |
| City | BOILING SPRINGS |
| State | SC |
| Zip Code | 29316-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770069874 | Ahmed Al Dulaimi | Dentist | 2210 Boiling Springs Rd, Boiling Springs, SC 29316-5302 | 2018-07-12 |
| 1306288667 | Aleksey Zelenko | Dentist | 2210 Boiling Springs Rd, Boiling Springs, SC 29316-5302 | 2013-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254579 | Boiling Springs First Baptist Church Counseling Service | Marriage & Family Therapist | 3600 Boiling Springs Rd, Boiling Springs, SC 29316 | 2019-03-13 |
| 1942675566 | Anitra Williams Mims | Social Worker | 186 John Dodd Rd, Boiling Springs, SC 29316 | 2015-12-08 |
| 1407222532 | Felisha Booker | Nurse Practitioner | 1214 Turning Leaf Cir, Boiling Springs, SC 29316 | 2015-08-12 |
| 1699157669 | Zarmina Hussain | Dentist | 1860 Old Furnace Rd, Boiling Springs, SC 29316 | 2015-06-25 |
| 1700272424 | Family Builders Counseling Services | Community/Behavioral Health | 1965 Old Furnace Rd, Boiling Springs, SC 29316 | 2015-04-09 |
| 1538504311 | District 2 Schools Spartanburg County | Registered Nurse | 4606 Parris Brigde Rd, Boiling Springs, SC 29316 | 2013-05-07 |
| 1639441769 | Daniel Earl Kimbrell | Physical Therapy Assistant | 395 Castleton Cir, Boiling Springs, SC 29316 | 2012-02-06 |
| 1427283084 | Bernard Walvin Kaseman | Chiropractor | 1523 Boiling Springs Rd, Boiling Springs, SC 29316 | 2009-05-26 |
| 1730320482 | Elliott Michael Keller | Optometrist | 8674 Asheville Highway, Boiling Springs, SC 29316 | 2009-03-10 |
| 1003063447 | Marion Virginia Brannon | Chiropractor | 2137 Boiling Springs Rd., Boiling Springs, SC 29316 | 2008-08-27 |
| Find all providers in zip 29316 | ||||
| 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 |
|---|---|---|---|---|
| 1245603539 | Igrin Childrens Dentistry LLC | Dentist | 1860 Old Furnace Road, Boiling Springs, SC 29316-6623 | 2015-11-09 |
| 1699157669 | Zarmina Hussain | Dentist | 1860 Old Furnace Rd, Boiling Springs, SC 29316 | 2015-06-25 |
| 1538284666 | Mark Grantham Fletcher | Dentist | 107 Parris Bridge Rd, Boiling Springs, SC 29316-1924 | 2007-03-20 |
| 1821136011 | Charles Stanley Thorne | Dentist | 3101 Boiling Springs Rd, Boiling Springs, SC 29316-6016 | 2007-02-01 |
| 1053425546 | Charles B Hanna Jr. | Dentist | 1821 Old Furnace Rd, Boiling Springs, SC 29316-7427 | 2006-08-19 |
| 1922065846 | James Gilmour Agnew | Dentist | 2272 Old Furnace Rd, Boiling Springs, SC 29316-5759 | 2006-04-26 |
| 1770069874 | Ahmed Al Dulaimi | Dentist | 2210 Boiling Springs Rd, Boiling Springs, SC 29316-5302 | 2018-07-12 |
| 1598255416 | Stephen Chase Timmons | Dentist | 1821 Old Furnace Rd, Boiling Springs, SC 29316 | 2018-05-16 |
| 1033523550 | Joshua A Capozzi | Dentist | 210 Forge Rd, Boiling Springs, PA 17007-9787 | 2014-06-12 |
| 1871784488 | Charles B. Hanna, Jr., D.m.d. | Dentist | 1821 Old Furnace Rd, Boiling Springs, SC 29316-7427 | 2007-08-08 |
| Find all providers in BOILING SPRINGS | ||||
| City | BOILING SPRINGS |
| Zip Code | 29316 |
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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.