Beaufort Smiles PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BEAUFORT SMILES PA

Practice address

27A Kemmerlin LN
Beaufort, SC 29907-2702

Phone

(843) 522-2077

NPI assigned

Jul 25, 2023

Last updated

Jul 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Britany Sackman

Title

Insurance Coordinator

Phone

(843) 522-2077

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Kristine Wallace, DMD

  • General Practice Dentistry
  • Beaufort, SC
  • NPI 1316930233
  NPD

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1063193936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27A KEMMERLIN LN",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27A KEMMERLIN LN",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072702",
            "telephone_number": "843-522-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT SMILES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "SACKMAN",
        "authorized_official_first_name": "BRITANY",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "843-522-2077"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaufort Pediatrics, P.a.
• Beaufort Pediatrics, P.a.
• Beaufort Pharmacy LLC (Beaufort Pharmacy and Compouding)
• Beaufort Physician Partners
• Beaufort Psychological Services
• Barney B. Beaver, D.O.
• Stephanie Armande Becaas, LMSW
• Maribel Beck, CRNA
• Robin B Beck, MSP,CCC-SLP
• Kathy Tines Becker, CRNA

• General Practice Dentistry in Beaufort, SC
• Providers in Beaufort, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.