Sweet Tooth Smiles P a

Primary specialty

DentistTaxonomy code 122300000X

License

4571 Issued in SC

Legal business name

SWEET TOOTH SMILES P A

Practice address

3020 Sunset Blvd Ste 106
West Columbia, SC 29169-3494

Phone

(803) 233-1980

Fax

(803) 602-6397

NPI assigned

Feb 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Erica Marguerite Johannes, DDSNPI 1881707420

Title

President

Phone

(920) 254-9865

Specialties & licenses 2

Addresses

Other names 1

• Dental Sleep Doc Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica M Johannes, DDS

  • Dentist
  • West Columbia, SC
  • NPI 1881707420
  NPD Authorized official

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

{
    "created_epoch": "1519516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1982105904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MALLARD LAKES CT",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729300",
            "telephone_number": "920-254-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 SUNSET BLVD STE 106",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693494",
            "telephone_number": "803-233-1980",
            "fax_number": "803-602-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET TOOTH SMILES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-25",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "JOHANNES",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "MARGUERITE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-254-9865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "4571",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Sleep Doc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Sleep Doc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Joseph Sutherland, MD
• SVS Hydration & Wellness Lounge, LLC
• Michelle Swancey
• Whitney Makenzie Swann, DO
• Scott M Sweazy, M.D.
• Madison Perry Sweet, DMD
• Virginia Swiatek
• Jamil'Ya Alexis Swygert
• Kayla Jo Szolek
• K-Leigh Taca, CPSS

• Dentist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.