Smileology Eco Dental Spa PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4691 Issued in SC

Legal business name

SMILEOLOGY ECO DENTAL SPA PC

Practice address

2106 Mount Pleasant St
# P-137
Charleston, SC 29403-3026

Phone

(843) 608-3188

NPI assigned

Sep 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Page, DDSNPI 1396940458

Title

Ceo

Phone

(404) 862-2004

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Tracy Michelle Page, DDS

  • General Practice Dentistry
  • N Charleston, SC
  • NPI 1396940458
  Authorized official Same address or phone

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1710389879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 DORCHESTER RD",
            "address_2": "SUITE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294185100",
            "telephone_number": "843-767-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 MOUNT PLEASANT ST",
            "address_2": "# P-137",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294033026",
            "telephone_number": "843-608-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEOLOGY ECO DENTAL SPA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-862-2004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "4691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smartcare Operations Group, Inc. (SmartCare Family Medical Centers)
• Husein Smayli, MD
• Philip Andrew Smeltzer, PHD
• Randall John Smies, PH.D.
• Smile on Charleston, LLC (Blackman & Lineberger Orthodontics)
• Priscilla Smiley
• Sarah Smith Gainey, MSW, LISW-CP/S
• Smith Pediatric Therapy Services, LLC
• Ebone Smith-Morant, LCSW
• Anasha Ravon Devincia Smith-Veasey

• Dental Clinic/Center in Charleston, SC
• Providers in Charleston, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.