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

Q: What is Ancient Mariner, LLC's NPI number?

The NPI number for Ancient Mariner, LLC is 1225456247. It was assigned to this organization in the NPPES registry on April 7, 2014. The provider is doing business as Children And Adult Dental Group.

Q: What is Ancient Mariner, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

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: August 09, 2026.

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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 NPPES & CMS

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

What is Ancient Mariner, LLC's NPI number?

The NPI number for Ancient Mariner, LLC is 1225456247. It was assigned to this organization in the NPPES registry on April 7, 2014. The provider is doing business as Children And Adult Dental Group.

Where is Ancient Mariner, LLC located?

Ancient Mariner, LLC is located at 1118 Greenlawn Dr, Columbia, SC 29209. The listed phone number is (803) 807-2140.

What is Ancient Mariner, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Ancient Mariner, LLC was last updated on October 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.