OrganizationActive
Ancient Mariner, LLC
NPI 1225456247 · Dental Clinic/Center · Columbia, SC
Ancient Mariner, LLC is a Dental Clinic/Center organization in Columbia, SC (NPI 1225456247).
Provider details
- NPI number
- 1225456247
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tonia Patterson, Office Administrator(803) 600-7211
- License
- 2905 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1118 Greenlawn Dr
Columbia, SC 29209-2606
Phone: (803) 807-2140
Street-level locationGet directions
Mailing address
7457 Patterson Rd Ste 107
Columbia, SC 29209-0710
Other names (DBA / former)
- Doing business as
- Children and Adult Dental Group
Registry dates
- Enumerated
- 2014-04-07
- Last updated
- 2015-10-27
Frequently asked questions
- What is Ancient Mariner, LLC's NPI number?
- Ancient Mariner, LLC's National Provider Identifier (NPI) is 1225456247, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ancient Mariner, LLC?
- Ancient Mariner, LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ancient Mariner, LLC located?
- Ancient Mariner, LLC's practice location on file with NPPES is 1118 Greenlawn Dr, Columbia, SC 29209-2606.
- What is Ancient Mariner, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ancient Mariner, LLC is (803) 807-2140.
- Who is the authorized official for Ancient Mariner, LLC?
- The authorized official listed on Ancient Mariner, LLC's NPPES record is Tonia Patterson, Office Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ancient Mariner, LLC's NPI active?
- Yes — Ancient Mariner, LLC's NPI (1225456247) is active in the NPPES registry as of the last update on 2015-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.