Central Carolina Endodontics Pa · Endodontist

888 Cook Road, Orangeburg, SC 29118

Overview

Central Carolina Endodontics Pa is a Endodontist (organization) practicing in Orangeburg, South Carolina. The National Provider Identifier (NPI) is #1710442967, which was assigned on February 1, 2019, and the registration record was last updated on February 1, 2019. The practitioner's main practice location is at 888 Cook Road, Orangeburg, SC 29118; the contact telephone number is 8035160777, and the fax number is 8035160577. The primary taxonomy of Central Carolina Endodontics Pa is Endodontist (1223E0200X), with specialization in Endodontics. The authorized official for Central Carolina Endodontics Pa is Joseph Davin Bonavilla (President).

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.

Provider Information

NPI 1710442967
Entity Type Organization
Organization Name CENTRAL CAROLINA ENDODONTICS PA
Provider Name CENTRAL CAROLINA ENDODONTICS PA
Practice Address 888 Cook Road
Orangeburg
SC 29118
Practice Telephone 8035160777
Practice Fax Number 8035160577
Mailing Address 888 Cook Road
Orangeburg
SC 29118
Mailing Telephone 8035160777
Mailing Fax Number 8035160577
Enumeration Date 2019-02-01
Last Update Date 2019-02-01
Is Organization Subpart N

Authorized Official Information

Official Name JOSEPH DAVIN BONAVILLA
Official Title PRESIDENT
Credential DDS
Telephone 8035160777

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y1223E0200XDentistEndodontics193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 1223E0200X
Taxonomy Endodontist
Classification Dentist
Specialization Endodontics
Grouping Dental Providers
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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Endodontic Providers PLLC 717 N Tejon St, Colorado Springs, CO 80903-1011Endodontist2025-02-17
Apex Endodontic Specialists LLC 400 Penn Center Blvd Ste 111, Pittsburgh, PA 15235-5601Endodontist2025-02-18
Hartley and Field Dental Corp 105 South Dr Ste 200, Mountain View, CA 94040-4317Endodontist2025-03-05
Ylg Endodontics LLC 953 Russell Ave Ste A, Gaithersburg, MD 20879-3284Endodontist2025-02-03
Endoexcela PLLC 7010 Little River Tpke Ste 450, Annandale, VA 22003-3249Endodontist2025-02-18
Nasim Tishbi Dmd PC 100 Manetto Hill Rd Ste 206, Plainview, NY 11803-1311Endodontist2025-03-03
Align Oral Surgery 12014 Huebner Rd Ste 102, San Antonio, TX 78230-1296Endodontist2025-02-20
Vikash Huliyar Dds Ms PLLC 1448 W Madison St Ste 2, Chicago, IL 60607-1822Endodontist2025-03-03
Surprise Endo PLLC 15294 W Brookside Ln Ste 100, Surprise, AZ 85374-2446Endodontist2025-03-04
Szu Hua Chiang 1902 N Prospect Ave Ste 1, Champaign, IL 61822-1411Endodontist2025-02-14
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Location Information

Street Address 888 COOK ROAD
City ORANGEBURG
State SC
Zip Code 29118
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Emily Light Barnett 3000 St Matthews Rd, Orangeburg, SC 29118Certified Registered Nurse Anesthetist2023-06-26
Orthodontic Specialists of Carolina, PC 2847 Pelham Court, Orangeburg, SC 29118Orthodontics and Dentofacial Orthopedic Dentist2007-04-26
Lori J Hagwood 3221 Plum Circle, Orangeburg, SC 29118Speech-Language Pathologist2007-01-09
Connors Healthcare for Women Pa 1181hutto Road, Orangeburg, SC 29118Obstetrics & Gynecology Physician2007-02-28
George E Castro 1137 Cook Road, Orangeburg, SC 29118Cardiovascular Disease Physician2007-06-22
Brooke Bess 910 Cook Road, Orangeburg, SC 29118Addiction (Substance Use Disorder) Counselor2016-01-15
Claretha Johnson 106 Foxberry Court, Orangeburg, SC 29118Speech-Language Pathologist2009-03-24
Sharon Y Tremble 222 Summit Parkway, Orangeburg, SC 29118Speech-Language Pathologist2020-06-08
R Dale Padgett Md Pa 1727 Villagepark Dr, Orangeburg, SC 29118Rural Health Clinic/Center2015-12-21
South Carolina Surgical Pa 3045 St Matthews Road, Orangeburg, SC 29118Surgery Physician2018-03-23
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Central Endodontics Inc 2711 Santa Ana St, South Gate, CA 90280-2021Endodontist2007-04-24
Central Carolina-Ima, LLC 1139 Carthage St, Ste 110, Sanford, NC 27330-4111Internal Medicine Physician2013-10-24
Carolina Periodontics & Endodontics LLC 1033 Bayshore Dr, Suite A, Rock Hill, SC 29732-1569Endodontist2010-08-13
Highfive Endodontics South Carolina, LLC 2570 Lin Do Ct, Sumter, SC 29150-1832Endodontist2023-11-02
Central Maryland Endodontics, LLC 5058 Dorsey Hall Dr Ste 102, Ellicott City, MD 21042-7850Endodontist2021-10-22
Central Ohio Endodontics 6827 North High Street, Suite 115, Worthington, OH 43085Endodontist2006-08-23
North Central Florida Endodontics,Pllc 1905 Nw 13th St Ste 2, Gainesville, FL 32609-3414Endodontist2022-04-07
Central Maine Endodontics 219 Mount Auburn Ave, Auburn, ME 04210Endodontist2007-06-05
Central Pennsylvania Endodontics, LLC 240 S Burrowes St, State College, PA 16801-4008Endodontist2008-07-17
North Central Florida Endodontics,Pllc 48 Se 16th Ave, Ocala, FL 34471-2521Endodontist2019-09-23

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.