Kids Teeth, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2085 Issued in SC

Legal business name

KIDS TEETH, LLC

Practice address

1130 Professional LN
Mount Pleasant, SC 29466-7193

Phone

(843) 216-5879

Fax

(843) 310-3771

NPI assigned

Apr 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rebecca Torlay - Kursh

Title

Financial Coordinator

Phone

(843) 216-5879

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Wrobleski & MacDonald Pediatric Dental Partnership Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Willaim D Macdonald, DMD

  • Pediatric Dentistry
  • Mt Pleasant, SC
  • NPI 1245389808
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1053376491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 PROFESSIONAL LN",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667193",
            "telephone_number": "843-216-5879",
            "fax_number": "843-216-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 PROFESSIONAL LN",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667193",
            "telephone_number": "843-216-5879",
            "fax_number": "843-310-3771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1073 Johnnie Dodds Blvd",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643155",
            "country_code": "US",
            "telephone_number": "843-884-7041",
            "fax_number": "843-310-3771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDS TEETH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "TORLAY - KURSH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "843-216-5879"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "2085",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "3881",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "3863",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "3030",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "7171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9866",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3881",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z20850",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wrobleski & MacDonald Pediatric Dental Partnership",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michelle Keutzer, CRNA
• Mary Beth Keyserling-Kramer, M.ED., LPC, LMFT
• Caroline Rose Khader, CNM/WHNP
• Norman P Khoury, M.D.
• Karl Kibler, D.C.
• Kidz Play, LLC
• Lisha Kievit, PH.D.
• Jane Catherine Kilkenny, MD
• Gordon M Kimbrell, PHD
• Julia Kimbrough

• Pediatric Dentistry in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.