SIGNATURE SMILES, LLC (NPI# 1104304393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104304393 |
| Entity Type | Organization |
| Organization Name | SIGNATURE SMILES, LLC |
| Practice Address |
1730 Henderson St Ste A Columbia SC 29201-2648 |
| Practice Telephone | 8032525068 |
| Mailing Telephone | 8032525068 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| Authorized Official Name | DR. BLAKE MICHAEL JULIAN (PRACTICE OWNER) |
| Authorized Official Telephone | 8642716213 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6903 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154800068 | Signature Smiles, LLC | Dentist | 2801 Wade Hampton Blvd Ste 118, Taylors, SC 29687-2758 | 2018-08-10 |
| 1184093197 | Signature Smiles, LLC | Dentist | 1540 Pleasant Valley Rd Ste G, Manchester, CT 06042-8760 | 2015-09-20 |
| 1659655892 | Signature Smiles, LLC | Dentist | 6b Cleveland Ct, Greenville, SC 29607-2414 | 2011-10-06 |
| Street Address |
1730 HENDERSON ST STE A |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558057 | Roberto Selonk Buechele | Dentist | 460 Killian Rd Ste 1, Columbia, SC 29203-9742 | 2020-11-02 |
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1629688338 | Tennessee Valley Dental Partners, P.C. | Dentist | 1501 Nashville Hwy Ste 102, Columbia, TN 38401-2016 | 2020-08-06 |
| 1912516923 | Richard Houston Rash | Dentist | 303 N Keene St Ste 202-210, Columbia, MO 65201-8050 | 2020-07-26 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1255837167 | Ivan Liang Zhang | Dentist | 10910 Little Patuxent Pkwy Ste 103r, Columbia, MD 21044-3081 | 2018-04-01 |
| 1831605401 | Bela Family Dentistry of Sandhills | Dentist | 126 Barton Creek Ct, Columbia, SC 29229-8027 | 2017-12-19 |
| 1588175087 | Palmetto Mobile Dental Centers LLC | Dentist | 1703 Laurel St, Columbia, SC 29201-2660 | 2017-10-24 |
| 1619491461 | Jacquelyn L Wiles | Dentist | 5615 Hood St, Columbia, SC 29207-5109 | 2017-08-02 |
| 1649700394 | Katherine Logan Rutland | Dentist | 10 Medical Park Blvd, Suite A, Columbia, SC 29203 | 2017-06-15 |
| Find all providers in COLUMBIA | ||||
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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.