1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. Dentist
  6. NPI Profile

PH DENTISTRY
NPI 1417442864
Dentist - Oral and Maxillofacial Surgery in Columbia, SC

Active since June 28, 2018
10 RICHLAND MEDICAL PARK DR STE A, COLUMBIA, SC 29203(803) 434-6565 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2022, Sep 11, 2020, Jul 16, 2020 and 1 more (4 updates tracked since 2018).

About Ph Dentistry NPPES

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

PH DENTISTRY (NPI 1417442864) is a healthcare organization registered as an oral and maxillofacial surgery in Columbia, South Carolina and active in the NPI registry since June 2018. The organization lists Kristi Lawrence, Director, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1417442864
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePRISMA HEALTH MEDICAL GROUP-MIDLANDS
Location Address10 RICHLAND MEDICAL PARK DR STE AColumbia, SC 29203-6892
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 293-7330
Phone(803) 434-6565
Organization SubpartNo
Authorized OfficialKristi LawrenceDirector, Provider Enrollment · (864) 522-8611
Enumeration DateJune 28, 2018
Last NPPES UpdateFebruary 22, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
✔ NPI 1417442864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
10 RICHLAND MEDICAL PARK DR STE A, Columbia, SC 29203
Open in Google Maps ↗

Other Names 1

Doing Business AsPh Dentistry

Other Identifiers 1

MedicaidZA8984SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina.Insurance ›

Other Providers at the Same Location NPPES 13

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

RONNETTA JANEEVA PATRICE SARTOR DMD
Dentist (General Practice)
10 RICHLAND MEDICAL PARK DR STE A
COLUMBIA, SC 29203
Richland County (803) 434-6567
MARISSA LYNN GENTLE DMD
Dentist (Prosthodontics)
10 RICHLAND MEDICAL PARK DR STE A
COLUMBIA, SC 29203
Richland County (803) 434-6567
ANWAR GEBREMICHAEL DDS
Dentist (General Practice)
10 RICHLAND MEDICAL PARK DR STE A
COLUMBIA, SC 29203
Richland County (803) 434-6567
DR. CINDY B NICHOLS DMD
Dentist (Prosthodontics)
10 RICHLAND MEDICAL PARK DR STE A
COLUMBIA, SC 29203
Richland County (803) 434-6565
DR. SCOTT MICHAEL BALZER DDS
Dentist (General Practice)
10 RICHLAND MEDICAL PARK DR STE A
COLUMBIA, SC 29203
Richland County (803) 434-6567
MADELYN MAE LOVETT DDS
Student in an Organized Health Care Education/Training Program
10 RICHLAND MEDICAL PARK DR STE A
COLUMBIA, SC 29203
Richland County (301) 908-5245
DR. BRANDON MACK CAIN D.M.D.
Dentist
10 RICHLAND MEDICAL PARK DR STE A
COLUMBIA, SC 29203
Richland County (803) 434-6567
DAVID MARK HICKLIN DMD
Dentist (General Practice)
10 RICHLAND MEDICAL PARK DR STE A
COLUMBIA, SC 29203
Richland County (803) 434-6565

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 Prisma Health Medical Group-Midlands's NPI number?

The NPI number for Prisma Health Medical Group-Midlands is 1417442864. It was assigned to this organization in the NPPES registry on June 28, 2018. The provider is doing business as Ph Dentistry.

Where is Prisma Health Medical Group-Midlands located?

Prisma Health Medical Group-Midlands is located at 10 Richland Medical Park Dr Ste A, Columbia, SC 29203. The listed phone number is (803) 434-6565.

What is Prisma Health Medical Group-Midlands's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Prisma Health Medical Group-Midlands accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Prisma Health Medical Group-Midlands as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prisma Health Medical Group-Midlands was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.