FAMILY ORTHODONTICS OF S. CAROLINA, LLC (NPI# 1043634363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043634363 |
| Entity Type | Organization |
| Organization Name | FAMILY ORTHODONTICS OF S. CAROLINA, LLC |
| Practice Address |
712 Saint Andrews Blvd Charleston SC 29407-7141 |
| Mailing Address |
1350 Spring St Nw Ste 600 Atlanta GA 30309-2864 |
| Practice Telephone | 8435715533 |
| Practice Fax Number | 6784444152 |
| Mailing Telephone | 4043891950 |
| Mailing Fax Number | 6784444152 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |
| Authorized Official Name | JEANNINE BARTCH (MANAGER) |
| Authorized Official Telephone | 4043891950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4396 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336563659 | Family Orthodontics of S. Carolina, LLC | Dentist | 8730 Northpark Blvd, Ste A, North Charleston, SC 29406-9265 | 2014-02-06 |
| 1649693177 | Family Orthodontics of S. Carolina, LLC | Dentist | 302b Midland Pkwy, Summerville, SC 29485-8102 | 2014-02-04 |
| Street Address |
712 SAINT ANDREWS BLVD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-7141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306159413 | Jennifer Ballantyne Berwick | Dentist | 712 Saint Andrews Blvd, Charleston, SC 29407-7141 | 2010-07-17 |
| 1659979797 | Magnum Health, Inc | Hearing Instrument Specialist | 712 Saint Andrews Blvd, Charleston, SC 29407-7141 | 2020-10-12 |
| 1083103576 | Jason Lee Latham | Dentist | 712 Saint Andrews Blvd, Charleston, SC 29407 | 2018-05-09 |
| 1801142567 | Jennifer Berwick Professional Corporation | Clinic/Center | 712 Saint Andrews Blvd, Charleston, SC 29407-7141 | 2012-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893122 | Foster Orthodontics, Pa | Dentist | 625 Skylark Dr, Charleston, SC 29407-5782 | 2020-08-26 |
| 1487212171 | Kathleen Schessler | Dentist | 818 Beaumont Rd, Charleston, WV 25314-1815 | 2019-05-29 |
| 1699267021 | Trevan Samp | Dentist | 22 Westedge St Ste 106b, Charleston, SC 29403-6983 | 2018-06-01 |
| 1992180335 | John Anthony Palmer IIi | Dentist | 867 Oakwood Road, Charleston, WV 25314 | 2015-07-28 |
| 1306159413 | Jennifer Ballantyne Berwick | Dentist | 712 Saint Andrews Blvd, Charleston, SC 29407-7141 | 2010-07-17 |
| 1710102405 | Lavonne Kelly Fore | Dentist | 915 Folly Rd Ste T, Charleston, SC 29412-3907 | 2007-04-16 |
| 1295950699 | Luis Paulo Leite | Dentist | 56 Courtenay Dr, Charleston, SC 29403-5707 | 2007-04-13 |
| 1619029071 | R. Cary Bocklet | Dentist | 1845 Savage Rd, Charleston, SC 29407-4726 | 2007-01-17 |
| 1811048135 | Robert Dudley Calcote | Dentist | 163 Rutledge Ave, Suite 300, Charleston, SC 29403-5823 | 2007-01-15 |
| 1902974173 | Imad Shammaa | Dentist | 3920 Maccorkle Ave Se, Charleston, WV 25304 | 2006-12-04 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.