CAROLINA CHILDREN'S DENTISTRY LLC NPI 1528112398

NPI Information

  • NPI: 1528112398
  • Provider Name: CAROLINA CHILDREN'S DENTISTRY, LLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: CAROLINA CHILDREN'S DENTISTRY SUMTER
  • Address: 500 PHYSICIANS LN
    SUMTER, SC
    ZIP 29150
  • Phone: (803) 775-4793

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NPI Details

CAROLINA CHILDREN'S DENTISTRY, LLC is a pediatric dentistry dentist in Sumter, 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, LLC NPI is 1528112398. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolina Children's Dentistry Sumter.

The provider's business location address is:

500 PHYSICIANS LN
SUMTER, SC
ZIP 29150-370
Phone: (803) 775-4793
Fax: (803) 934-9943

The provider's authorized official is Felicia L Goins .
The authorized official title is Owner and has the following contact phone number (803) 775-4793.

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
11223P0221XDentistPediatric DentistryYes

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
1ZA9642MEDICAIDSOUTH 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: 3/30/2025

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