Smileology Dental Clinic, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4691 Issued in SC

Legal business name

SMILEOLOGY DENTAL CLINIC, LLC

Practice address

6518 Dorchester Rd
Suite a
N Charleston, SC 29418-5100

Phone

(843) 767-8555

NPI assigned

Oct 7, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Tracy M Page, DDS

Title

Ceo

Phone

(404) 862-2004

Specialties & licenses 1

Addresses

Tax ID family

Smileology Dental Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Smileology Dental Clinic, Inc.

  • Dentist
  • North Charleston, SC
  • NPI 1942619671
  NPD tax ID

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1083017867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 DORCHESTER RD",
            "address_2": "SUITE A",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294185100",
            "telephone_number": "843-767-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6518 DORCHESTER RD",
            "address_2": "SUITE A",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294185100",
            "telephone_number": "843-767-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEOLOGY DENTAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-862-2004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "4691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niravkumar Shah, PT, DPT
• Thomas Eugene Sherer, R.PH
• Lisa Short, RN
• Jack L Shortridge, ED.D.
• Sarah Doobrow Silvis, P.A.
• Aaron Robert Smith, M.D.
• Anna D Smith, APRN, FNP
• Belle Marie Smith, OT
• Kimberly D. Smith
• Marion B Smith

• Dental Clinic/Center in N Charleston, SC
• Providers in N Charleston, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.