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CLEMSON MODERN DENTISTRY, PC
NPI 1811570492
Dentist - General Practice in Columbia, SC

Active since May 03, 2021
2708 CLEMSON RD STE A, COLUMBIA, SC 29229(803) 830-5972(803) 440-8432 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clemson Modern Dentistry, Pc NPPES

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

CLEMSON MODERN DENTISTRY, PC (NPI 1811570492), doing business as Clemson Modern Dentistry, is a healthcare organization registered as a general practice in Columbia, South Carolina and active in the NPI registry since May 2021. The organization lists Ali Shahrestani, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1811570492
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLEMSON MODERN DENTISTRY, PC
Location Address2708 CLEMSON RD STE AColumbia, SC 29229-8033
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (303) 952-0892
Phone(803) 830-5972
Fax(803) 440-8432
Organization SubpartNo
Authorized OfficialAli ShahrestaniOwner Dentist · (714) 845-8890
Enumeration DateMay 3, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1811570492 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.
2708 CLEMSON RD STE A, Columbia, SC 29229
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Other Names 1

Doing Business AsClemson Modern Dentistry

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.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. RUWAYDAH SHALASH DDS
Dentist
2708 CLEMSON RD STE A
COLUMBIA, SC 29229
Richland County (803) 830-5972
ANN TRUONG THAI DMD
Dentist (General Practice)
2708 CLEMSON RD STE A
COLUMBIA, SC 29229
Richland County (803) 830-5972

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 Clemson Modern Dentistry, PC's NPI number?

The NPI number for Clemson Modern Dentistry, PC is 1811570492. It was assigned to this organization in the NPPES registry on May 3, 2021. The provider is doing business as Clemson Modern Dentistry.

Where is Clemson Modern Dentistry, PC located?

Clemson Modern Dentistry, PC is located at 2708 Clemson Rd Ste A, Columbia, SC 29229. The listed phone number is (803) 830-5972.

What is Clemson Modern Dentistry, PC's specialty?

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

What insurance does Clemson Modern Dentistry, PC accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Clemson Modern Dentistry, PC 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 Clemson Modern Dentistry, PC was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.