COLUMBIA SMILES YOUTH DENTISTRY, LLC
NPI 1760448575
Dentist - General Practice in Columbia, SC

Active since April 21, 2006
3000 TWO NOTCH RD, COLUMBIA, SC 29204(803) 691-9930(803) 691-9322 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Columbia Smiles Youth Dentistry, Llc NPPES

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

COLUMBIA SMILES YOUTH DENTISTRY, LLC (NPI 1760448575) is a healthcare organization registered as a general practice in Columbia, South Carolina and active in the NPI registry since April 2006. The organization lists Jenell Stump, Manager, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1760448575
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOLUMBIA SMILES YOUTH DENTISTRY, LLC
Location Address3000 TWO NOTCH RDColumbia, SC 29204-2822
Mailing Address16 Arcade Unit 198747Nashville, TN 37219-1994 · (615) 750-0343 · Fax (615) 986-1705
Fax(803) 691-9322
Organization SubpartNo
Authorized OfficialJenell StumpManager, Licensing & Credentialing · (615) 750-0343
Enumeration DateApril 21, 2006
Last NPPES UpdateJuly 9, 2014
NPI 1760448575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
3000 TWO NOTCH RD, Columbia, SC 29204

Other Identifiers 1

MedicaidZA9624SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Dentist (General Practice)
3000 TWO NOTCH RD
COLUMBIA, SC 29204
Dentist (General Practice)
3000 TWO NOTCH RD
COLUMBIA, SC 29204
Dentist (General Practice)
3000 TWO NOTCH RD
COLUMBIA, SC 29204
Dentist (General Practice)
3000 TWO NOTCH RD
COLUMBIA, SC 29204
Dentist (General Practice)
3000 TWO NOTCH RD
COLUMBIA, SC 29204
Dentist (General Practice)
3000 TWO NOTCH RD
COLUMBIA, SC 29204
Dentist (General Practice)
3000 TWO NOTCH RD
COLUMBIA, SC 29204

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 Columbia Smiles Youth Dentistry, LLC's NPI number?

The NPI number for Columbia Smiles Youth Dentistry, LLC is 1760448575. It was assigned to this organization in the NPPES registry on April 21, 2006.

Where is Columbia Smiles Youth Dentistry, LLC located?

Columbia Smiles Youth Dentistry, LLC is located at 3000 Two Notch Rd, Columbia, SC 29204. The listed phone number is (803) 691-9930.

What is Columbia Smiles Youth Dentistry, LLC'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 Columbia Smiles Youth Dentistry, LLC was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.