Pediatric Smiles, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8543-869 Issued in SC

Legal business name

PEDIATRIC SMILES, LLC

Practice address

19 Promenade St
Unit 201
Bluffton, SC 29910-7037

Phone

(843) 707-7915

NPI assigned

Jun 6, 2016

Last updated

Jun 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Davis, D.D.SNPI 1992060834

Title

Owner/Pediatric Dentist

Phone

(843) 707-7915

Specialties & licenses 1

Addresses

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.

• Courtney D Davis, D.D.S

  • Pediatric Dentistry
  • Bluffton, SC
  • NPI 1992060834
  NPD (past) Authorized official

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1871942391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PROMENADE ST",
            "address_2": "UNIT 201",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107037",
            "telephone_number": "843-707-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 PROMENADE ST",
            "address_2": "UNIT 201",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107037",
            "telephone_number": "843-707-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "843-707-7915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "8543-869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace of Mind in Home Care
• Ellen R Pearson, P.T.A.
• Nicole Marie Pecko, OD
• Alexia Pecoraro, DPT, PT
• Michael Kennedy Pecosh, M.ED., NCC, LPC
• Michela Pelizario Dennis
• Misty Marie Penrod, APRN
• David Allen Perdue, RPH
• Gaston O. Perez, M.D. F.A.A.F.P.
• Samantha Margaret Perkowski, LBSW

• Pediatric Dentistry in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.