Cane Bay Family Dentistry - Goose Creek LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CANE BAY FAMILY DENTISTRY - GOOSE CREEK LLC

Doing business as

Smile Care 360

Practice address

129 Plantation North Blvd
Unit D
Goosecreek, SC 29445-2944

Phone

(843) 410-4920

Fax

(843) 410-4924

NPI assigned

Sep 17, 2020

Organization subpart

Yes

Parent organization

CANE BAY FAMILY DENTISTRY, LLCAs reported in NPPES

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

Authorized official

Name

Miss Taylor Denae Davis

Title

Office Manager

Phone

(843) 352-4454

Specialties & licenses 1

Addresses

Other names 1

• Smile Care 360 Doing business as

Part of

Cane Bay Family Dentistry LLC

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1497361307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 PLANTATION NORTH BLVD",
            "address_2": "UNIT D",
            "city": "GOOSECREEK",
            "state": "SC",
            "postal_code": "29445",
            "telephone_number": "843-410-4920",
            "fax_number": "843-410-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 PLANTATION NORTH BLVD",
            "address_2": "UNIT D",
            "city": "GOOSECREEK",
            "state": "SC",
            "postal_code": "294452944",
            "telephone_number": "843-410-4920",
            "fax_number": "843-410-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANE BAY FAMILY DENTISTRY - GOOSE CREEK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANE BAY FAMILY DENTISTRY, LLC",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "DENAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-352-4454",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Care 360",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacha N Burgess
• Christina A Burns
• Brittany Byron, OTR/L
• Titus Daniel Caddell Sr., MD
• Patricia A Campbell, MD
• Cane Bay Orthodontics
• Christiana Cantwell, PT, DPT
• Caramia Carboni
• Care 4 Transportation LLC
• Care Institute of South Carolina LLC

• General Practice Dentistry in Goose Creek, SC
• Providers in Goose Creek, 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 17, 2020; 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.