Radiant Smiles Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

License

8632 Issued in SC

Legal business name

RADIANT SMILES DENTAL INC

Practice address

1305 Knox Abbott Dr
Ste-101
Cayce, SC 29033-3348

Phone

(773) 609-4867

Fax

(803) 832-0799

NPI assigned

Jan 7, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Sreekanth R Emani, DDS

Title

Dentist

Phone

(773) 609-4867

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1467782730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 KNOX ABBOTT DR",
            "address_2": "STE-101",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333348",
            "telephone_number": "773-609-4867",
            "fax_number": "803-832-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 KNOX ABBOTT DR",
            "address_2": "STE-101",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333348",
            "telephone_number": "773-609-4867",
            "fax_number": "803-832-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT SMILES DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "EMANI",
        "authorized_official_first_name": "SREEKANTH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-609-4867",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "8632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Grace Price, MS, RD, LD
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• Morgan Purcell, DPT
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• Alexis Quint, DPT
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• Amanda Hope Richardson, PT, DPT
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• Dentist in Cayce, SC
• Providers in Cayce, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.