Newsmile

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NEWSMILE

Practice address

303 Bunch Ford Rd
Holly Hill, SC 29059-8401

Phone

(803) 496-9012

NPI assigned

Aug 14, 2018

Organization subpart

No

Name

Dr. Susan Jaques, DMDNPI 1568575363

Title

Owner

Phone

(803) 496-9012

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

• Susan H Jaques, DMD

  • General Practice Dentistry
  • Holly Hill, SC
  • NPI 1568575363
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2018.

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1992285571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BUNCH FORD RD",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "290598401",
            "telephone_number": "803-496-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BUNCH FORD RD",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "290598401",
            "telephone_number": "803-496-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWSMILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "JAQUES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-496-9012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZ2538",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Victoria Mack, PHARMD
• David Mickell, BA SOCIAL WORKER
• Musc Community Physicians
• Michael James Myers, RPH
• New Phase Home Care LLC
• Nra-Holly Hill, South Carolina, LLC
• Orangeburg Consolidated School District Three
• Rachel Osteen
• Palmetto Eye Associates
• Ginger Deroche Porter, PMHNP-BC

• All providers in Holly Hill, SC
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.