CAROLINA CHILDREN'S DENTISTRY PA NPI 1396899175

NPI Information

NPI: 1396899175
Provider Name: CAROLINA CHILDREN'S DENTISTRY, PA

Other Name: CAROLINA CHILDREN'S DENTISTRY OF COLUMBIA

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
7701 TRENHOLM ROAD EXT
COLUMBIA, SC
ZIP 29223
Phone: (803) 736-6000
Get Directions

CAROLINA CHILDREN'S DENTISTRY, PA is a pediatric dentistry dentist in Columbia, SC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. CAROLINA CHILDREN'S DENTISTRY, PA NPI is 1396899175. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Carolina Children's Dentistry Of Columbia.

The provider's business location address is:

7701 TRENHOLM ROAD EXT
COLUMBIA, SC
ZIP 29223-725
Phone: (803) 736-6000

The provider's authorized official is Felicia L Goins .
The authorized official title is Owner and has the following contact phone number (803) 736-6000.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 6/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZA9715	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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