Family Laser Dental of North Charleston

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8812 Issued in SC

Legal business name

FAMILY LASER DENTAL OF NORTH CHARLESTON

Practice address

7455 Cross County Rd
Unit 5
North Charleston, SC 29418-8470

Phone

(843) 552-4771

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. David Ieni, DDS

Title

Owner/Dentist

Phone

(603) 236-9770

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Donald E Bellebaum, D.D.S.

  • General Practice Dentistry
  • N Charleston, SC
  • NPI 1326186206
  NPD (past)

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1275070070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 COOLIDGE ST",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667161",
            "telephone_number": "603-236-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 CROSS COUNTY RD",
            "address_2": "UNIT 5",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294188470",
            "telephone_number": "843-552-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LASER DENTAL OF NORTH CHARLESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "IENI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "603-236-9770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Fabrizio, LCSW
• Caleb A Fackler, PHARMD, MBA
• Christopher Michael Fagerstrom, DC
• Matthew David Falter
• Family Dental Health of Oakbrook
• Family Laser Dental of North Charleston LLC
• Family Orthodontics of S. Carolina, LLC
• Family Services, Inc.
• Family Wellness Center of Charleston
• Family Wellness Center of Charleston, LLC

• General Practice Dentistry in North Charleston, SC
• Providers in North Charleston, 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 Jan 31, 2017; 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.