NPIMap

Organization Active NPI

Pleasant Smiles Cosmetic & Family Dentistry

  • General Practice Dentistry
  • Mount Pleasant, SC
National Provider Identifier
1326493875
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4016 Issued in SC
Legal business name
PLEASANT SMILES COSMETIC & FAMILY DENTISTRY
Practice address
924 Tall Pine Rd
Mount Pleasant, SC 29464-2990
Phone
(843) 884-0701
NPI assigned
May 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Dr. Julie Obenchain, DDS
Title
Owner
Phone
(843) 884-0701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4016 SC Primary

Addresses

Primary practice location

924 Tall Pine Rd
Mount Pleasant, SC 29464-2990

Mailing address

924 Tall Pine Rd
Mount Pleasant, SC 29464-2990
Phone (843) 884-0701

National Provider Directory

National Provider Directory

Locations

924 Tall Pine Rd
Mt Pleasant, SC 29464
Phone (843) 884-0701

Practitioners & affiliated clinicians

Practitioners 1

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": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1326493875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 TALL PINE RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294642990",
            "telephone_number": "843-884-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 TALL PINE RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294642990",
            "telephone_number": "843-884-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT SMILES COSMETIC & FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "OBENCHAIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-884-0701",
        "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": "4016",
            "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 May 3, 2016; 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.