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IVY CREEK FAMILY DENTISTRY LLC
NPI 1962033001
Dentist - General Practice in Columbia, SC

Active since January 28, 2020
9007 TWO NOTCH RD STE B, COLUMBIA, SC 29223(803) 302-4445 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ivy Creek Family Dentistry Llc NPPES

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

IVY CREEK FAMILY DENTISTRY LLC (NPI 1962033001) is a healthcare organization registered as a general practice in Columbia, South Carolina and active in the NPI registry since January 2020. The organization lists Chermaine Latrice Lyde, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1962033001
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameIVY CREEK FAMILY DENTISTRY LLC
Location Address9007 TWO NOTCH RD STE BColumbia, SC 29223-5834
Mailing Address337 Oakpointe LnLexington, SC 29072-7232 · (912) 695-8540
Phone(803) 302-4445
Organization SubpartNo
Authorized OfficialChermaine Latrice LydeOwner/partner · (803) 302-4445
Enumeration DateJanuary 28, 2020
✔ NPI 1962033001 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.
9007 TWO NOTCH RD STE B, Columbia, SC 29223
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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 2

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

MOHAMMAD SHAHID FARHAN DDS
Dentist
9007 TWO NOTCH RD STE B
COLUMBIA, SC 29223
Richland County (803) 212-0387
RICCOBENE & ASSOCIATES CCC, DDS, PC
Dentist
9007 TWO NOTCH RD STE B
COLUMBIA, SC 29223
Richland County (803) 212-0387

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 Ivy Creek Family Dentistry LLC's NPI number?

The NPI number for Ivy Creek Family Dentistry LLC is 1962033001. It was assigned to this organization in the NPPES registry on January 28, 2020.

Where is Ivy Creek Family Dentistry LLC located?

Ivy Creek Family Dentistry LLC is located at 9007 Two Notch Rd Ste B, Columbia, SC 29223. The listed phone number is (803) 302-4445.

What is Ivy Creek Family 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 Ivy Creek Family Dentistry LLC was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.