JOHN C COSBY JR DMD PA (NPI# 1851559629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851559629 |
| Entity Type | Organization |
| Organization Name | JOHN C COSBY JR DMD PA |
| Other Organization Name | BLYTHWOOD VILLAGE DENTAL ASSOCIATES |
| Practice Address |
745 University Village Drive Blythewood SC 29016 |
| Mailing Address |
Po Box 969 Blythewood SC 29016 |
| Practice Telephone | 8037549160 |
| Practice Fax Number | 8037549162 |
| Mailing Telephone | 8037549160 |
| Mailing Fax Number | 8037549162 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | MR. JOHN C COSBY JR. (OWNER PRESIDENT) |
| Authorized Official Telephone | 8037549160 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
SC1677 | SC | Dental Providers |
| Other Name | Type Code |
|---|---|
| Blythwood Village Dental Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275793648 | John C Cosby Jr Dmd Pa | Dentist | 7346 Parklane Road, Columbia, SC 29223 | 2008-06-10 |
| Street Address |
745 UNIVERSITY VILLAGE DRIVE |
| City | BLYTHEWOOD |
| State | SC |
| Zip Code | 29016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151870 | Soo Ji Mun | Student in an Organized Health Care Education/Training Program | 3049 Gedney Circle, Blythewood, SC 29016 | 2020-07-09 |
| 1427600196 | Josie Gandy Drew Britt | Speech-Language Pathologist | Langford Elementary, 480 Langford Road, Blythewood, SC 29016 | 2019-07-12 |
| 1740843093 | Helping Hearts Development Corporation | In Home Supportive Care | 311 Blythewood Road, Blythewood, SC 29016 | 2019-04-22 |
| 1063933125 | Shawn Tyler | Registered Nurse | 1017 Fulmer Road, Blythewood, SC 29016 | 2017-06-29 |
| 1497290852 | Carolina Roses of Blythewood LLC | Community Based Residential Treatment Facility, Mental Illness | 5338 Hardscrabble Rd, Blythewood, SC 29016 | 2016-12-21 |
| 1598129512 | Brooke L. Green | Physical Therapy Assistant | 428-3 Mcnulty Road, Blythewood, SC 29016 | 2016-04-06 |
| 1922468909 | Prince George Transport | Ambulance | 200 Louthian Way, Blythewood, SC 29016 | 2016-03-03 |
| 1760849459 | Sherry Macaluso | Counselor | 2008 Old Birch Drive, Blythewood, SC 29016 | 2016-01-26 |
| 1427242031 | Fairfield Medical Associates,pa | Specialist | 428 2 Mcnulty Road, Blythewood, SC 29016 | 2007-08-28 |
| 1124247754 | Brian E. Gray | Physical Therapist | 420-b Mcnulty Road, Blythewood, SC 29016 | 2007-04-24 |
| Find all providers in zip 29016 | ||||
| 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 |
|---|---|---|---|---|
| 1699839134 | James A Finkel | Dentist | 205 Blythewood Rd, Blythewood, SC 29016-9538 | 2006-12-20 |
| 1033123583 | Robert William Buchanan | Dentist | 213 Main St., Blythewood, SC 29016 | 2006-07-28 |
| 1730455965 | Dental Professionals of South Carolina, P.C. | Dentist | 213 Main Street, Blythewood, SC 29016-0589 | 2012-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564046 | Leishman Dental | Dentist | 121 N Pine St, Batesburg Leesville, SC 29006-1974 | 2020-10-07 |
| 1265039754 | Ravi Bhupen Patel | Dentist | 1755 Central Park Rd, Unit 1107, Charleston, SC 29412-2846 | 2020-10-07 |
| 1447857289 | Rick & Pamela Dhillon Dmd - Sda LLC | Dentist | 3115a Brushy Creek Rd, Greer, SC 29650-0903 | 2020-10-05 |
| 1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
| 1043827314 | Dental Professionals of South Carolina, P.C. | Dentist | 1767 Heckle Blvd Ste 102, Rock Hill, SC 29732-1878 | 2020-09-30 |
| 1497361307 | Cane Bay Family Dentistry - Goose Creek LLC | Dentist | 129 Plantation North Blvd, Unit D, Goosecreek, SC 29445-2944 | 2020-09-17 |
| 1851906028 | Carolina Park Family Dentistry LLC | Dentist | 3520 Park Avenue Blvd., Suite 100, Mount Pleasant, SC 29466-2946 | 2020-09-14 |
| 1952915027 | Vdp Okatie LLC | Dentist | 10 William Pope Drive, Suite #2, Okatie, SC 29909 | 2020-09-04 |
| 1881208296 | Amanda Ho Van Garrett | Dentist | 122 S Goose Creek Blvd Ste A, Goose Creek, SC 29445-3136 | 2020-09-02 |
| 1871107409 | Ashley Czechner | Dentist | 11990 Highway 17 Byp Ste 8, Murrells Inlet, SC 29576-9379 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | BLYTHEWOOD |
| Zip Code | 29016 |
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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.