Active NPI
Smileology Dental Clinic, Inc.
- Dentist
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SMILEOLOGY DENTAL CLINIC, INC.
- Practice address
- 6518 Dorchester Rd
Suite a
North Charleston, SC 29418-5100 - Phone
- (843) 767-8555
- Fax
- (843) 793-3344
- NPI assigned
- Aug 6, 2014
- Last updated
- Aug 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tracy Michelle Page, DDS
- Title
- Ceo
- Phone
- (843) 767-8555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
6518 Dorchester Rd
Suite a
North Charleston, SC 29418-5100
Mailing address
6518 Dorchester Rd
Suite a
North Charleston, SC 29418-5100
Phone (843) 767-8555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396940458 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Smileology Dental Clinic Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- N Charleston, SC
- NPI 1083017867
Locations
6518 Dorchester Rd
Ste A
North Charleston, SC 29418
Phone (843) 767-8555
Practitioners & affiliated clinicians
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.
-
- General Practice Dentistry
- N Charleston, SC
- NPI 1396940458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407283200000",
"number": "1942619671",
"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",
"fax_number": "843-793-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"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",
"fax_number": "843-793-3344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILEOLOGY DENTAL CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-06",
"last_updated": "2014-08-06",
"status": "A",
"authorized_official_last_name": "PAGE",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "843-767-8555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396940458",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.