New Smile Shoppe LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NEW SMILE SHOPPE LLC

Practice address

1051 Johnnie Dodds Blvd
Mount Pleasant, SC 29464

Phone

(843) 388-9690

Fax

(843) 388-9703

NPI assigned

May 4, 2021

Organization subpart

Yes

Parent organization

THE DENTAL IMPLANT CENTREAs reported in NPPES

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

Authorized official

Name

Dr. Joseph C. Gillespie, DDSNPI 1144498213

Title

Provider and Owner

Phone

(843) 314-3006

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Joseph C.D. Gillespie

  • General Practice Dentistry
  • Mount Pleasant, SC
  • NPI 1144498213
  Authorized official Same address or phone
• Benjamin Keller

  • Dentist
  • Pawley's Island, SC
  • NPI 1316696172
  NPD (past)

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1316520760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BLACKGUM ROAD",
            "address_2": "SUITE G",
            "city": "PAWLEYS ISL",
            "state": "SC",
            "postal_code": "29585",
            "telephone_number": "843-314-3006",
            "fax_number": "843-314-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 JOHNNIE DODDS BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-388-9690",
            "fax_number": "843-388-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SMILE SHOPPE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE DENTAL IMPLANT CENTRE",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PROVIDER AND OWNER",
        "authorized_official_telephone_number": "843-314-3006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTISTRY",
            "identifier": "1144498213",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Stephen Nemeth, MD
• Mark Douglas Netherton, MD
• Neuropathy Treatment Center of Charleston, LLC
• Renee Neves, MSW
• Rufus Lester Neville III, DMD
• New Tide Psychotherapy
• Margaret Newman-Crowson, LPC, LMFT
• Nathan S. Newton Jr., PHARM D, R PH
• Minhthu Nguyen
• Viet Nguyen

• General Practice Dentistry in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 May 4, 2021; 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.