GOLDEN CORNER DENTISTRY, LLC
NPI 1447634597
Dentist - General Practice in West Union, SC

NPI Status: Active since July 17, 2015

Contact Information

102 LUSK DR
WEST UNION, SC
ZIP 29696
Phone: (864) 638-7733
Fax: (864) 718-7162

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 42D0936712
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-30-2025

About GOLDEN CORNER DENTISTRY, LLC

This page provides the complete NPI Profile along with additional information for Golden Corner Dentistry, Llc, a provider established in West Union, South Carolina operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1447634597 assigned on July 2015. The practitioner's primary taxonomy code is 1223G0001X with license number 4506 (SC). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is James Bruce (Dentist/owner)

NPI
1447634597
Provider Name
GOLDEN CORNER DENTISTRY, LLC
Entity Type
Organization
Location Address
102 LUSK DR WEST UNION, SC 29696
Location Phone
(864) 638-7733
Location Fax
(864) 718-7162
Mailing Address
PO BOX 1778 WEST UNION, SC 29696
Mailing Phone
(864) 638-7733
Mailing Fax
(864) 718-7162
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2015
Last Update Date
07-17-2015
Code Navigator

A dentist like Golden Corner Dentistry, Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
4506
License State
SC
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMES BRUCE

Authorized Official Title
DENTIST/OWNER
Authorized Official Phone
(864) 638-7733

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D0936712
Facility Type
Physician Office
Certificate Effective Date
December 22, 2022
Certificate Expiration Date
June 30, 2025
Laboratory Director
EDWARD BOOKER SR
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Golden Corner Dentistry, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447634597
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24871238518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 2 + 3 + 8 + 5 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1447634597 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306963178DR. THOMAS OTIS BOWEN JR. DDS
Individual
Dentist (General Practice)102 LUSK DR
WEST UNION, SC 29696
(864) 638-7733
1396862173DR. C FRED MARCINAK JR. DMD
Individual
Dentist (General Practice)102 LUSK DR
WEST UNION, SC 29696
(864) 638-7733
1245890532GOLDEN CORNER DENTAL, LLC
Organization
Clinic/Center (Dental)102 LUSK DR
WEST UNION, SC 29696
(864) 638-7733
1144969718DR. KENNETH DAVID PARKER DMD
Individual
Dentist (General Practice)102 LUSK DR
WEST UNION, SC 29696
(864) 638-7733
1417523341FAMILY DENTAL HEALTH OF GOLDEN CORNER LLC
Organization
Dentist (General Practice)102 LUSK DR
WEST UNION, SC 29696
(864) 638-7733
1609617604 ADAM FREDERICK SCHWARTZ DMD
Individual
Dentist (General Practice)102 LUSK DR
WEST UNION, SC 29696
(864) 638-7733

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447634597, enumerated in the NPI registry as an "organization" on July 17, 2015

The provider is located at 102 Lusk Dr West Union, Sc 29696 and the phone number is (864) 638-7733

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider's CLIA number is 42D0936712 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on July 17, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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