Southern Smiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2560 Issued in SC

Legal business name

SOUTHERN SMILES

Practice address

298 Old Trolley Rd
Summerville, SC 29485-4929

Phone

(843) 871-9070

Fax

(843) 871-9111

NPI assigned

Sep 29, 2014

Last updated

Sep 29, 2014By 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

Dr. Dwight Julius Beavers, D.D.S.NPI 1477654143

Title

Member

Phone

(843) 871-9070

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dwight J Beavers, D.D.S.

  • Dentist
  • Summerville, SC
  • NPI 1477654143
  NPD (past) Authorized official
• Blair Freeman Hendricks, DMD

  • General Practice Dentistry
  • Summerville, SC
  • NPI 1699062810
  NPD (past)

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1316340839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 OLD TROLLEY RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854929",
            "telephone_number": "843-871-9070",
            "fax_number": "843-871-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 OLD TROLLEY RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854929",
            "telephone_number": "843-871-9070",
            "fax_number": "843-871-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "BEAVERS",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "JULIUS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "843-871-9070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Carolina CVS Pharmacy, L.L.C. (CVS Pharmacy #03113)
• South Carolina Diagnost Imaging Inc (Summerville MRI & Imaging)
• South Carolina Homecare, LLC (Home Health Care of South Carolina - Low Country)
• South Carolina Sleep Medicine LLC
• Southern Coast Spine & Pain Specialists LLC (Southern Coast Spine and Pain Specialists)
• Alexander Dix Soutter, MD
• Space and Time Counseling LLC
• Speak Hope, LLC
• Speak Up Speech Therapy, LLC
• Speakeasy Counseling

• General Practice Dentistry in Summerville, SC
• Providers in Summerville, 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 Sep 29, 2014; 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.