EAU CLAIRE FAMILY DENTISTRY
NPI 1457740789
Dentist - General Practice in Columbia, SC

Q: What is Eau Claire Cooperative Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since January 09, 2015

3800 N MAIN ST, STE. C, COLUMBIA, SC 29203(803) 705-3169(803) 705-3175 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2022, Dec 16, 2016, Jun 27, 2016 and 1 more (4 updates tracked since 2016).

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About Eau Claire Family Dentistry NPPES

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

EAU CLAIRE FAMILY DENTISTRY (NPI 1457740789) is a healthcare organization registered as a general practice in Columbia, South Carolina and active in the NPI registry since January 2015. The organization lists Delgaod Cantave, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457740789

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameEAU CLAIRE COOPERATIVE HEALTH CENTER, INC.

Location Address3800 N MAIN ST, STE. CColumbia, SC 29203-6414

Mailing AddressPo Box 3788Columbia, SC 29230-3788 · (803) 733-5969 · Fax (803) 753-5591

Phone(803) 705-3169

Fax(803) 705-3175

Organization SubpartNo

Authorized OfficialDelgaod CantaveCeo · (803) 733-5969

Enumeration DateJanuary 9, 2015

Last NPPES UpdateFebruary 3, 20224 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2022

✔ NPI 1457740789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X

3800 N MAIN ST, Columbia, SC 29203

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Other Names 1

Doing Business AsEau Claire Family Dentistry

Other Identifiers 1

MedicaidZA9183SC

Other Providers at the Same Location NPPES

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

MRS. TAMMIE MIMS P.T.

Physical Therapist

3800 N MAIN ST, SUITE E
COLUMBIA, SC 29203

Richland County (803) 348-4744

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 Eau Claire Cooperative Health Center, Inc.'s NPI number?

The NPI number for Eau Claire Cooperative Health Center, Inc. is 1457740789. It was assigned to this organization in the NPPES registry on January 9, 2015. The provider is doing business as Eau Claire Family Dentistry.

Where is Eau Claire Cooperative Health Center, Inc. located?

Eau Claire Cooperative Health Center, Inc. is located at 3800 N Main St Ste. C, Columbia, SC 29203. The listed phone number is (803) 705-3169.

What is Eau Claire Cooperative Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Eau Claire Cooperative Health Center, Inc. was last updated on February 3, 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.