OrganizationActive
Immediate Dental Group Columbia
NPI 1790039212 · Dentist · Columbia, SC
Immediate Dental Group Columbia is a Dentist organization in Columbia, SC (NPI 1790039212).
Provider details
- NPI number
- 1790039212
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Zachary Daugherty, Business Manager(910) 526-3487
- License
- SC2662 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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 Drive
Columbia, SC 29209
Phone: (803) 807-2140
Fax: (803) 807-2141
Street-level locationGet directions
Mailing address
1118 Greenlawn Drive
Columbia, SC 29209
Registry dates
- Enumerated
- 2012-11-06
- Last updated
- 2012-11-06
Frequently asked questions
- What is Immediate Dental Group Columbia's NPI number?
- Immediate Dental Group Columbia's National Provider Identifier (NPI) is 1790039212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Immediate Dental Group Columbia?
- Immediate Dental Group Columbia is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Immediate Dental Group Columbia located?
- Immediate Dental Group Columbia's practice location on file with NPPES is 1118 Greenlawn Drive, Columbia, SC 29209.
- What is Immediate Dental Group Columbia's phone number?
- The practice phone number listed in the NPPES registry for Immediate Dental Group Columbia is (803) 807-2140.
- Who is the authorized official for Immediate Dental Group Columbia?
- The authorized official listed on Immediate Dental Group Columbia's NPPES record is Zachary Daugherty, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Immediate Dental Group Columbia's NPI active?
- Yes — Immediate Dental Group Columbia's NPI (1790039212) is active in the NPPES registry as of the last update on 2012-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.