Signature Smiles, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

6903 Issued in SC

Legal business name

SIGNATURE SMILES, LLC

Doing business as

Compass Dental

Practice address

2801 Wade Hampton Blvd Ste 118
Taylors, SC 29687-2758

Phone

(864) 292-6050

NPI assigned

Aug 10, 2018

Last updated

Aug 10, 2018By 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

Blake Michael Julian

Title

DDS - Practice Owner

Phone

(864) 292-6050

Specialties & licenses 1

Addresses

Other names 1

• Compass Dental Doing business as

Tax ID family

Signature Smiles LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Signature Smiles, LLC

  • Dentist
  • Columbia, SC
  • NPI 1104304393
  NPD tax ID
• Signature Smiles, LLC

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1659655892
  NPD tax ID

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1154800068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 WADE HAMPTON BLVD STE 118",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872758",
            "telephone_number": "864-292-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 WADE HAMPTON BLVD STE 118",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872758",
            "telephone_number": "864-292-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "JULIAN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DDS - PRACTICE OWNER",
        "authorized_official_telephone_number": "864-292-6050"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "6903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compass Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Compass Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Schutrumpf, D.C.
• Lydia Seppala, FNP-BC
• Serenitee Counseling & Community Services, LLC (Serenitee Counseling & Community)
• Mariya Sharamet, FNP
• Larry Gene Sherman
• Dorothy Smith, LPC, LAC, LPCS
• Gregory Smith, LISW-CPS
• Heidi Rebecca Smith, M.S. CCC-SLP
• Joann Cook Smith, M.DIV. LPC, LMFT
• Kelley N Smith, APRN

• Dentist in Taylors, SC
• Providers in Taylors, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.