DR. ANNY VANDAM (NPI# 1609933811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609933811 |
| Entity Type | Individual |
| Full Name | DR. ANNY VANDAM |
| Other Name | DR. ANNY ZALESNE |
| Credential | DMD |
| Practice Address |
3026 Farrow Rd Columbia SC 29203-7002 |
| Practice Telephone | 8032550200 |
| Practice Fax Number | 8032550222 |
| Mailing Telephone | 8032550200 |
| Mailing Fax Number | 8032550222 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2009-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
4170 | SC | Dental Providers |
| Street Address |
3026 FARROW RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-7002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992862965 | John W Dingle | Dentist | 3026 Farrow Rd, Columbia, SC 29203-7002 | 2007-01-02 |
| 1811536881 | Foundation Dental Partners South Carolina PC | Dentist | 3026 Farrow Rd, Columbia, SC 29203-7002 | 2019-12-23 |
| 1134624646 | Jacqueline Gyamfi Greene | Dentist | 3026 Farrow Rd, Columbia, SC 29203-7002 | 2018-03-27 |
| 1629331384 | Isaiah Lowell Davis Jr. | Dentist | 3026 Farrow Rd, Columbia, SC 29203-7002 | 2012-06-19 |
| 1609925635 | Davis and Dingle Family Dentistry | Dentist | 3026 Farrow Rd, Columbia, SC 29203-7002 | 2007-01-09 |
| 1922165976 | Isaiah L Davis Sr. | Dentist | 3026 Farrow Rd, Columbia, SC 29203-7002 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376814723 | Nabil Beaini | Dentist | 201 W Broadway Ste 5a, Columbia, MO 65203-3842 | 2012-01-17 |
| 1811126261 | Keyla Ivette Torres | Dentist | 6395 Dobbin Rd Ste 208, Columbia, MD 21045-4759 | 2009-07-07 |
| 1578688230 | Stephen E Gossett | Dentist | 3000 Two Notch Rd., Small Smiles Dental Centers of Columbia, LLC, Columbia, SC 29204 | 2007-03-20 |
| 1518009026 | Donald William Hogan | Dentist | 7007 Brookfield Rd, Columbia, SC 29223-2212 | 2007-02-12 |
| 1609945674 | Russell Leon Harrison | Dentist | 33 E Broadway, Ste. 290, Columbia, MO 65203-4207 | 2006-11-06 |
| 1134211261 | William Cleveland James Jr. | Dentist | 2120 N Beltline Blvd, Columbia, SC 29204-3905 | 2006-09-28 |
| 1598856353 | South Carolina Periodontology Pa | Dentist | 2120 N Beltline Boulevard, Columbia, SC 29204-3905 | 2006-09-27 |
| 1700800497 | Sohee Kim Park | Dentist | 456 Clemson Rd, Columbia, SC 29229-7925 | 2006-07-26 |
| 1548282130 | Columbia Periodontal Assoicates, LLC | Dentist | 3527 Bush River Rd, Columbia, SC 29210-4805 | 2006-07-24 |
| 1427029511 | Gregg Walker Mckenzie | Dentist | 124 Alpine Cir., Columbia, SC 29223 | 2006-01-28 |
| Find all providers in COLUMBIA | ||||
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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.