SOUTHERN SMILES DENTAL STUDIO COLUMBIA LLC
NPI 1477055481
Clinic/Center - Dental in Columbia, SC

NPI Status: Active since March 06, 2018

Contact Information

160 SUMMIT CENTRE DR
COLUMBIA, SC
ZIP 29229
Phone: (803) 699-7224
Fax: (803) 736-0985

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 42D2112962
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-11-2027

About SOUTHERN SMILES DENTAL STUDIO COLUMBIA LLC

This page provides the complete NPI Profile along with additional information for Southern Smiles Dental Studio Columbia Llc, a provider established in Columbia, South Carolina operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1477055481 assigned on March 2018. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mrs. Melissa Denise Pittman (Office)

NPI
1477055481
Provider Name
SOUTHERN SMILES DENTAL STUDIO COLUMBIA LLC
Entity Type
Organization
Location Address
160 SUMMIT CENTRE DR COLUMBIA, SC 29229
Location Phone
(803) 699-7224
Location Fax
(803) 736-0985
Mailing Address
3106 REIDVILLE RD SPARTANBURG, SC 29301
Mailing Phone
(803) 699-7224
Mailing Fax
(803) 736-0985
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-06-2018
Last Update Date
03-06-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MELISSA DENISE PITTMAN

Authorized Official Title
OFFICE
Authorized Official Phone
(864) 576-7464

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2112962
Facility Type
Physician Office
Certificate Effective Date
August 12, 2025
Certificate Expiration Date
August 11, 2027
Laboratory Director
DR. JOSEPH A. DELANEY
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Southern Smiles Dental Studio Columbia Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477055481, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 0 + 5 + 1 + 0 + 4 + 1 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1477055481.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
160 SUMMIT CENTRE DR
COLUMBIA, SC 29229
Dentist (General Practice)
160 SUMMIT CENTRE DR
COLUMBIA, SC 29229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477055481, enumerated as an "organization" on March 06, 2018.

The provider is located at 160 SUMMIT CENTRE DR COLUMBIA, SC 29229 and the phone number is (803) 699-7224.

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