Active NPI
Gamble Dentalsmart PC
Doing business as DentalSmart
- General Practice Dentistry
- North Charleston, SC
National Provider Identifier
1144685330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1626
- Legal business name
- GAMBLE DENTALSMART PC
- Doing business as
- DentalSmart
- Practice address
- 4921 Centre Pointe Dr
Suite 201
North Charleston, SC 29418-6996 - Phone
- (843) 735-6727
- NPI assigned
- Dec 15, 2015
- Last updated
- Apr 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Schleifer
- Title
- Ceo
- Phone
- (843) 735-6727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1626 | SC | Primary |
Addresses
Primary practice location
4921 Centre Pointe Dr
Suite 201
North Charleston, SC 29418-6996
Mailing address
2020 Savannah Hwy
Charleston, SC 29407-6286
Phone (843) 735-6727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZX1626 | Medicaid | SC |
Other names 1
- DentalSmart
National Provider Directory
National Provider Directory- Tax ID family
- Dentalsmart
Other organizations with this tax ID 28
Organizations that report the same tax identification number in the National Provider Directory.
Locations
2020 Savannah Hwy
Charleston, SC 29407
Phone (843) 557-5396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460332800000",
"number": "1144685330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 SAVANNAH HWY",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294076286",
"telephone_number": "843-735-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 CENTRE POINTE DR",
"address_2": "SUITE 201",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294186996",
"telephone_number": "843-735-6727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAMBLE DENTALSMART PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-15",
"last_updated": "2016-04-11",
"status": "A",
"authorized_official_last_name": "SCHLEIFER",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "843-735-6727"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "1626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZX1626",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DentalSmart",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.