Palmetto Smiles of Beaufort LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4161 Issued in SC

Legal business name

PALMETTO SMILES OF BEAUFORT LLC

Practice address

40 Kemmerlin LN
Beaufort, SC 29907-2709

Phone

(843) 524-7645

NPI assigned

Jan 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Lea Bailey, D.D.S.

Title

Dentist

Phone

(843) 524-7645

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.

• Justin S Vanderpool, DMD

  • General Practice Dentistry
  • Ridgeland, SC
  • NPI 1952969131
  NPD (past)

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

{
    "created_epoch": "1200096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200096000000",
    "number": "1821274598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 KEMMERLIN LN",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072709",
            "telephone_number": "843-524-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 KEMMERLIN LN",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072709",
            "telephone_number": "843-524-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SMILES OF BEAUFORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-12",
        "last_updated": "2008-01-12",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-524-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmetto Center of Psychiatry
• Palmetto Counseling Collective, LLC
• Palmetto Nutrition Consulting, LLC
• Palmetto Pain Center PA
• Palmetto Pulmonary Medicine. P.a.
• Karin Palo, RN
• Ashlee Panzer, SLP
• Jacob Paris, MS
• Carley Jane Murdock Parkison, ATC
• Krupa R Patel, PHARMD

• General Practice Dentistry in Beaufort, SC
• Providers in Beaufort, 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 Jan 12, 2008; 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.