Smile on Charleston, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8066 Issued in SC

Legal business name

SMILE ON CHARLESTON, LLC

Practice address

91 Rutledge Ave
Charleston, SC 29401-1722

Phone

(843) 577-7477

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Candie S Goodwin

Title

Business Manager

Phone

(704) 892-3300

Specialties & licenses 1

Addresses

Other names 1

• Blackman & Lineberger Orthodontics Doing business as

Tax ID family

Blackman Lineberger Orthodontics2 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.

• M & M Lineberger DDS Ms PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Charlotte, NC
  • NPI 1659724904
  NPD tax ID

Locations

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1902345630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 RUTLEDGE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011722",
            "telephone_number": "843-577-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 RUTLEDGE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011722",
            "telephone_number": "843-577-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ON CHARLESTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "CANDIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "704-892-3300"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "8066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackman & Lineberger Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherri Kay Smart, MD
• Smartcare Operations Group, Inc.
• Husein Smayli, MD
• Philip Andrew Smeltzer, PHD
• Randall John Smies, PH.D.
• Smileology Eco Dental Spa PC
• Priscilla Smiley
• Sarah Smith Gainey, MSW, LISW-CP/S
• Smith Pediatric Therapy Services, LLC
• Ebone Smith-Morant, LCSW

• 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 Feb 14, 2017; 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.