Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Elite Smiles Dental, PA

Organization Dentist · NPI 1861649386

Elite Smiles Dental, PA provides Dentist services in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2008.

Licensed in
SC
In the registry since
2008
Specialties on file
5
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9020 Farrow Rd
Columbia, SC 29203-9773
Phone: (803) 419-5002
Fax: (803) 419-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 3794 (SC)
Dentist Taxonomy 122300000X · Licence SC2116 (SC)
Dentist Taxonomy 122300000X · Licence 30-04295 (SC)
Dentist Taxonomy 122300000X · Licence 2116 (SC)
General Practice Dentistry Taxonomy 1223G0001X · Licence 03794 (SC)

Record details

NPI number1861649386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Gambrell — General Dentist · (803) 419-5002
NPI enumeratedAugust 27, 2008
Last updated in NPPESFebruary 21, 2017
Mailing address9020 Farrow Rd, Columbia, SC 29203-9773

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