SUMMER DENTAL, LLC (NPI# 1144634288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144634288 |
| Entity Type | Organization |
| Organization Name | SUMMER DENTAL, LLC |
| Other Organization Name | SWEETGRASS DENTAL OF SUMMERVILLE |
| Practice Address |
2039 N Main St Summerville SC 29483-7821 |
| Mailing Address |
130 Meridian Rd Beaufort SC 29907-1700 |
| Practice Telephone | 8438710433 |
| Mailing Telephone | 8643501386 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | MRS. KIM T DURHAM (SECRETARY) |
| Authorized Official Telephone | 8643501386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3440 | SC | Dental Providers |
| Other Name | Type Code |
|---|---|
| Sweetgrass Dental of Summerville | Doing Business As Name - Organization |
| Street Address |
2039 N MAIN ST |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483-7821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568420933 | Jesse Woodrow Mcelveen Jr. | Dentist | 2039 N Main St, Summerville, SC 29483-7821 | 2006-05-03 |
| 1215283338 | Carlisle Major Vereen IIi | Dentist | 2039 N Main St, Summerville, SC 29483-7821 | 2012-07-26 |
| 1952696932 | Margaret Mckenzie Raymond Woodard | Dentist | 2039 N Main St, Summerville, SC 29486-7821 | 2011-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
| Find all providers in zip 29483 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1720552524 | Sfd Knightsville LLC | Dentist | 487 W Butternut Rd, Summerville, SC 29483-5568 | 2019-01-15 |
| 1144762576 | Sfd Carnes LLC | Dentist | 110 Parish Farms Dr, Summerville, SC 29486-0409 | 2016-11-16 |
| 1619320116 | James Reed Williamson | Dentist | 502 N Pine St, Summerville, SC 29483-6555 | 2016-07-20 |
| 1487036794 | Seastone Dental | Dentist | 953 Orangeburg Rd, Ste B, Summerville, SC 29483-8941 | 2015-06-23 |
| 1235523887 | Melissa Owen | Dentist | 604a Nexton Square Dr, Summerville, SC 29486-7914 | 2015-03-21 |
| 1932406147 | Hubert Eric Heiden | Dentist | 2039 North Main Street, Summerville, SC 29483 | 2011-02-24 |
| 1780898353 | John M Corella | Dentist | 100 Harth Place, Summerville, SC 29485 | 2007-05-10 |
| 1902028269 | William Thomas Miller | Dentist | 502 North Pine Street, Summerville, SC 29483 | 2007-05-03 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29483 |
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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.