Smile Carolina Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE CAROLINA DENTAL GROUP LLC

Practice address

434 W Coleman Blvd
Mount Pleasant, SC 29464-3437

Phone

(843) 884-8884

Fax

(843) 856-0112

NPI assigned

Mar 24, 2022

Organization subpart

No

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

Authorized official

Name

Jeffrey Johnson, DMDNPI 1942869250

Title

Owner

Phone

(843) 884-8884

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Jeffrey H Johnson, D.M.D

  • General Practice Dentistry
  • Mt Pleasant, SC
  • NPI 1942869250
  NPD Authorized official
• Virginia L Gregory, DMD

  • General Practice Dentistry
  • Mount Pleasant, SC
  • NPI 1871760298
  NPD (past)

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1114677077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 W COLEMAN BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643437",
            "telephone_number": "843-884-8884",
            "fax_number": "843-856-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 W COLEMAN BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643437",
            "telephone_number": "843-884-8884",
            "fax_number": "843-856-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CAROLINA DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-884-8884",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Sligh, DPT
• SLM Group
• Rachel Slovan, DPT
• Michael J Slowey, MD
• Gregory Sinclair Smalls Jr.
• Smile South Carolina, PC
• Smile Works, LLC
• Smiles by KD, LLC
• Smith Family MD, Inc
• Sharon A Smith-Mathewes, M.ED.

• General Practice Dentistry in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 Mar 24, 2022; 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.