Organization Active NPI

Teeth DS Daniel Island LLC

  • Dental Clinic/Center
  • Daniel Island, SC
National Provider Identifier
1760084560
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TEETH DS DANIEL ISLAND LLC
Practice address
240 Seven Farms Dr Ste 101
Daniel Island, SC 29492-8988
Phone
(843) 284-4444
NPI assigned
Nov 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Dr. Luke Liszka
Title
Owner
Phone
(403) 909-0302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

240 Seven Farms Dr Ste 101
Daniel Island, SC 29492-8988

Mailing address

240 Seven Farms Dr Ste 101
Daniel Island, SC 29492-8988
Phone (843) 284-4444

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL danielisland@teethds.com

National Provider Directory

National Provider Directory
Tax ID family
Teeth DS Daniel Island LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

224 Seven Farms Dr
Ste 200
Daniel Island, SC 29492

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1760084560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SEVEN FARMS DR STE 101",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928988",
            "telephone_number": "843-284-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SEVEN FARMS DR STE 101",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928988",
            "telephone_number": "843-284-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEETH DS DANIEL ISLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "LISZKA",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "403-909-0302",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "danielisland@teethds.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "address_1": "240 Seven Farms Dr Ste 101",
            "city": "Daniel Island",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294928988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daniel Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.