CAROLINA AESTHETIC DENTISTRY PA
NPI 1922115658
Dentist - Endodontics in Spartanburg, SC

Q: What is Carolina Aesthetic Dentistry PA's NPI number?

The NPI number for Carolina Aesthetic Dentistry PA is 1922115658. It was assigned to this organization in the NPPES registry on August 25, 2006.

Q: What is Carolina Aesthetic Dentistry PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Active since August 25, 2006

383 SOUTH PINE STREET, SUITE 3, SPARTANBURG, SC 29302(864) 577-9400(864) 577-9773 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Carolina Aesthetic Dentistry Pa NPPES

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

CAROLINA AESTHETIC DENTISTRY PA (NPI 1922115658) is a healthcare organization registered as an endodontics in Spartanburg, South Carolina and active in the NPI registry since August 2006. The organization lists Katherine Melissa Nicholson, Dentist, as its authorized official.

NPPES Registry Identity

NPI1922115658

Entity TypeOrganization

Primary Taxonomy1223E0200X

Legal Business NameCAROLINA AESTHETIC DENTISTRY PA

Location Address383 SOUTH PINE STREET, SUITE 3Spartanburg, SC 29302

Mailing Address383 South Pine Street, Suite 3Spartanburg, SC 29302 · (864) 577-9400 · Fax (864) 577-9773

Phone(864) 577-9400

Fax(864) 577-9773

Organization SubpartNo

Authorized OfficialKatherine Melissa NicholsonDentist · (864) 577-9400

Enumeration DateAugust 25, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1922115658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in SC · SC3390

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

383 SOUTH PINE STREET, Spartanburg, SC 29302

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Other Identifiers 2

Medicaid233900SC

MedicaidZA9539SC

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

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 Carolina Aesthetic Dentistry PA's NPI number?

The NPI number for Carolina Aesthetic Dentistry PA is 1922115658. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is Carolina Aesthetic Dentistry PA located?

Carolina Aesthetic Dentistry PA is located at 383 South Pine Street Suite 3, Spartanburg, SC 29302. The listed phone number is (864) 577-9400.

What is Carolina Aesthetic Dentistry PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Carolina Aesthetic Dentistry PA was last updated on August 22, 2020. 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.