MID-CAROLINA DENTAL CARE, INC
NPI 1073050639
Dentist in Prosperity, SC

Q: What is Mid-Carolina Dental Care, Inc's NPI number?

The NPI number for Mid-Carolina Dental Care, Inc is 1073050639. It was assigned to this organization in the NPPES registry on January 20, 2017.

Q: What is Mid-Carolina Dental Care, Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since January 20, 2017

316 N WHEELER AVE, PROSPERITY, SC 29127(803) 364-2726 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Mid-carolina Dental Care, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-CAROLINA DENTAL CARE, INC (NPI 1073050639) is a healthcare organization registered as a dentist in Prosperity, South Carolina and active in the NPI registry since January 2017. The organization lists John Campbell Lake, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1073050639

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMID-CAROLINA DENTAL CARE, INC

Location Address316 N WHEELER AVEProsperity, SC 29127

Mailing Address2706 Main StNewberry, SC 29108-4004 · (803) 276-2090

Phone(803) 364-2726

Organization SubpartNo

Authorized OfficialJohn Campbell LakeGeneral Dentist · (803) 276-2090

Enumeration DateJanuary 20, 2017

✔ NPI 1073050639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in SC · 4593

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

316 N WHEELER AVE, Prosperity, SC 29127

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid-Carolina Dental Care, Inc's NPI number?

The NPI number for Mid-Carolina Dental Care, Inc is 1073050639. It was assigned to this organization in the NPPES registry on January 20, 2017.

Where is Mid-Carolina Dental Care, Inc located?

Mid-Carolina Dental Care, Inc is located at 316 N Wheeler Ave, Prosperity, SC 29127. The listed phone number is (803) 364-2726.

What is Mid-Carolina Dental Care, Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Mid-Carolina Dental Care, Inc was last updated on January 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.