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CHILDREN AND ADULT DENTAL GROUP
NPI 1225456247
Clinic/Center - Dental in Columbia, SC

Active since April 07, 2014
1118 GREENLAWN DR, COLUMBIA, SC 29209(803) 807-2140 Get Directions Write a Review

NPPES record last updated: October 27, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Children And Adult Dental Group NPPES

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

CHILDREN AND ADULT DENTAL GROUP (NPI 1225456247) is a healthcare organization registered as a dental in Columbia, South Carolina and active in the NPI registry since April 2014. The organization lists Tonia Patterson, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1225456247
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameANCIENT MARINER, LLC
Location Address1118 GREENLAWN DRColumbia, SC 29209-2606
Mailing Address7457 Patterson Rd Ste 107Columbia, SC 29209-0710 · (803) 807-2140 · Fax (803) 807-2141
Phone(803) 807-2140
Organization SubpartNo
Authorized OfficialTonia PattersonOffice Administrator · (803) 600-7211
Enumeration DateApril 7, 2014
Last NPPES UpdateOctober 27, 2015
✔ NPI 1225456247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in SC · 2905
1118 GREENLAWN DR, Columbia, SC 29209
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Other Names 1

Doing Business AsChildren And Adult Dental Group

Other Identifiers 1

MedicaidZ29050SC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHEAST ORAL & MAXILLOFACIAL
Dentist (Oral and Maxillofacial Pathology)
1118 GREENLAWN DR
COLUMBIA, SC 29209
Richland County (803) 695-1118

Frequently Asked Questions

What is ANCIENT MARINER, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1225456247, enumerated as an "organization" on April 07, 2014.

Where is the provider located?

The provider is located at 1118 GREENLAWN DR COLUMBIA, SC 29209 and the phone number is (803) 807-2140.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

What insurance does ANCIENT MARINER, LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.