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.
| 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 |
| Official Name | JOSEPH DAVIN BONAVILLA |
| Official Title | PRESIDENT |
| Credential | DDS |
| Telephone | 8035160777 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 1223E0200X | Dentist | Endodontics | 193400000X SINGLE SPECIALTY GROUP |
| 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 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Columbia Endodontics LLC | 10632 Little Patuxent Pkwy Ste 252, Columbia, MD 21044-6237 | Endodontist | 2026-02-23 |
| Darron R Rishwain Dds Inc | 1526 5th Ave, San Rafael, CA 94901-1852 | Endodontist | 2026-04-02 |
| Colic and Patel PLLC, Dba Endodontics Nw | 9714 3rd Ave Ne Ste 203, Seattle, WA 98115-2046 | Endodontist | 2026-03-23 |
| Siesta Key Root Canal Specialists, LLC | 3400 S Tamiami Trl Ste 301, Sarasota, FL 34239-6093 | Endodontist | 2026-03-17 |
| Goerig and Behnen, Dds., P.S. | 222 Lilly Rd Ne, Olympia, WA 98506-5031 | Endodontist | 2026-02-26 |
| Lake Washington Endodontics LLC | 11800 Ne 128th St Ste 540, Kirkland, WA 98034-7296 | Endodontist | 2026-03-25 |
| Demayodontics LLC | 666 Plainsboro Rd Ste 608, Plainsboro, NJ 08536-3029 | Endodontist | 2026-03-02 |
| Sirjani Dds Endodontics A Professional Corporation | 1010 Calloway Dr Unit 200b, Bakersfield, CA 93312-6296 | Endodontist | 2026-03-02 |
| Etemadi & Chen PLLC | 3325 Smokey Point Dr Ste 101, Arlington, WA 98223-7803 | Endodontist | 2026-03-20 |
| Shandra Lee Dmd PLLC | 130 S 15th St Ste 101, Mount Vernon, WA 98274-4569 | Endodontist | 2026-03-25 |
| Find all providers with the same taxonomy | |||
| Street Address |
888 COOK ROAD |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29118 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Olando Antonio Singletary | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | Anesthesiology Physician | 2019-01-22 |
| Wilmot R Gissendanner Iv | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | Physician Assistant | 2025-12-06 |
| Drs Williamson & Gillespie Pa | 1175 Cook Road, Suite 145, Orangeburg, SC 29118 | Obstetrics & Gynecology Physician | 2006-07-12 |
| Latasha Hott | 2323 St. Matthews Rd, Orangeburg, SC 29118 | Psychiatric/Mental Health Nurse Practitioner | 2017-03-15 |
| Kiara Jenkins | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | Psychiatric/Mental Health Nurse Practitioner | 2026-03-13 |
| Zachary Michael Buchanan | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | Emergency Medicine Physician | 2019-03-22 |
| Patrick Moyer | 3000 Saint Matthews Road, Po Box 1806, Orangeburg, SC 29118 | Emergency Medicine Physician | 2020-04-07 |
| Chyrese Jenkins | 3709 Magnolia St, Orangeburg, SC 29118-1403 | Family Nurse Practitioner | 2018-05-21 |
| Medical University Hospital Authority | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | Community/Retail Pharmacy | 2025-09-08 |
| Charles Francis Jacob | 2650 Saint Matthews Rd, Orangeburg, SC 29118-1344 | Physical Therapist | 2024-10-01 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ylg Endodontics LLC | 2700 S Quincy St Ste 325, Arlington, VA 22206-2242 | Endodontist | 2025-02-03 |
| Jd Endodontics LLC | 4901 81st Pl Sw, Mukilteo, WA 98275-2619 | Dental Clinic/Center | 2025-11-05 |
| Whitfield Endodontics P.C. | 8100 Forest Hills Rd, Loves Park, IL 61111-2709 | Endodontist | 2025-08-06 |
| Hoboken Endodontics LLC | 901 Washington St, Hoboken, NJ 07030-7084 | Endodontist | 2025-08-27 |
| Rootline Endodontics | 591 Cherokee St Ne, Marietta, GA 30060-1349 | Endodontist | 2025-12-18 |
| Dlp Central Carolina Medical Center LLC | 1135 Carthage St, Sanford, NC 27330-4162 | Land Ambulance | 2009-05-19 |
| Boys and Girls Clubs of Central Carolina | 1414 Bragg St, Sanford, NC 27330-5435 | Counselor | 2025-11-05 |
| Hometown Endodontics LLC | 2372 E University Dr Ste 103, Auburn, AL 36830-7748 | Endodontist | 2025-11-25 |
| Simply Endodontics LLC | 1 Broadway Ste 405, Elmwood Park, NJ 07407-1846 | Endodontist | 2025-09-24 |
| Tri City Endodontics | 5960 Burden Blvd, Pasco, WA 99301-8990 | Endodontist | 2026-02-23 |
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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 |
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. |