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

Last updated

Aug 14, 2018By 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. Susan Jaques, DMDNPI 1568575363

Title

Owner

Phone

(803) 496-9012

Specialties & licenses 1

Addresses

Locations

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.

• 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.

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

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

• Dental Clinic/Center in Holly Hill, SC
• Providers in Holly Hill, 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 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.