MID CAROLINA DENTAL CENTER PLLC NPI 1275742165

NPI Information

  • NPI: 1275742165
  • Provider Name: MID CAROLINA DENTAL CENTER PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1012 N WOODLAND DR
    LANCASTER, SC
    ZIP 29720
  • Phone: (803) 285-7645

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NPI Details

MID CAROLINA DENTAL CENTER PLLC is a general practice dentist in Lancaster, SC. The provider is 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. MID CAROLINA DENTAL CENTER PLLC NPI is 1275742165. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1012 N WOODLAND DR
LANCASTER, SC
ZIP 29720-966
Phone: (803) 285-7645
Fax: (803) 285-7687

The provider's authorized official is Mindy Renee Goins .
The authorized official title is President Dentist and has the following contact phone number (803) 285-7645.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/22/2020.

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
11223G0001XDentistGeneral PracticeYes

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
192948MEDICAIDSOUTH 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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