Organization Active NPI

Life Smiles Dentistry

  • General Practice Dentistry
  • Mount Pleasant, SC
National Provider Identifier
1235633835
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
SC3297 Issued in SC
Legal business name
LIFE SMILES DENTISTRY
Practice address
3070 N Highway 17 Ste 101
Mount Pleasant, SC 29466-9300
Phone
(843) 849-9990
Fax
(843) 849-9656
NPI assigned
Mar 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Dr. Judy K Villanyi, DMD
Title
Owner/Dentist
Phone
(843) 849-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X SC3297 SC Primary

Addresses

Primary practice location

3070 N Highway 17 Ste 101
Mount Pleasant, SC 29466-9300

Mailing address

3070 N Highway 17 Ste 101
Mount Pleasant, SC 29466-9300

National Provider Directory

National Provider Directory

Locations

3070 N Highway 17
Ste 101
Mt Pleasant, SC 29466
Phone (843) 849-9990

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1235633835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 N HIGHWAY 17 STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294669300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 N HIGHWAY 17 STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294669300",
            "telephone_number": "843-849-9990",
            "fax_number": "843-849-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SMILES DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "VILLANYI",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "843-849-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC3297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.