Teeth Specialty Center LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

TEETH SPECIALTY CENTER LLC

Practice address

910 Johnnie Dodds Blvd Ste 120
Mt Pleasant, SC 29464-5909

Phone

(403) 909-0302

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Luke Liszka, DMDNPI 1659686707

Title

Periodontist

Phone

(403) 909-0302

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Luke Alexander Liszka, DMD

  • Periodontics
  • Mount Pleasant, SC
  • NPI 1659686707
  NPD Authorized official

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1104678028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 OCEAN BLVD UNIT 203",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294511701",
            "telephone_number": "403-909-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 JOHNNIE DODDS BLVD STE 120",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645909",
            "telephone_number": "403-909-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEETH SPECIALTY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "LISZKA",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "403-909-0302",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Grace Oswald Taylor, FNP-C
• Jaclyn Taylor
• Jessica Taylor
• Margaret Moss Taylor, M.ED. LPC
• Steven James Taylor, MD
• Albert Gordon Teichner, PH.D.
• Sarah Temple
• Tenet Disc Imaging, Inc.
• Tenet South Carolina Lowcountry OB GYN, LLC
• Delinda H. Terry, M.D.

• Endodontics in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Endodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.