NPI 1194332619 · live from the CMS NPI Registry
Candid South Carolina, P.C.
Dentist, Orthodontics and Dentofacial Orthopedics in Columbia, SC. National Provider Identifier 1194332619, active.
NPI record
| NPI | 1194332619 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 136-4 Forum Drive #A20, Columbia, SC 29229 |
| Practice phone | 860-481-7631 |
| Enumerated | September 29, 2020 |
| Last updated | September 29, 2020 |
| Authorized official | Thomas Shannon, DDS |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.