KOOL SMILES, PC (NPI# 1154415958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154415958 |
| Entity Type | Organization |
| Organization Name | KOOL SMILES, PC |
| Practice Address |
112 Broad Street Sumter SC 29150 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 8009209947 |
| Practice Fax Number | 6789045666 |
| Mailing Telephone | 7709165028 |
| Mailing Fax Number | 6782477858 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-12-18 |
| Authorized Official Name | DR. TU MINH TRAN (PRESIDENT) |
| Authorized Official Telephone | 7709165028 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871682328 | Kool Smiles, PC | Dentist | 3203 W Blue Ridge Dr, Greenville, SC 29611-3905 | 2006-10-12 |
| 1457448987 | Kool Smiles, PC | Dentist | 2113 Bemiss Road, Valdosta, GA 31602 | 2006-10-06 |
| Street Address |
112 BROAD STREET |
| City | SUMTER |
| State | SC |
| Zip Code | 29150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| 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 |
|---|---|---|---|---|
| 1336761097 | Southern Oak Dental, LLC | Dentist | 1322 Broad St Unit 90, Sumter, SC 29150-1984 | 2020-05-15 |
| 1447746706 | John Curtis Terrell Lewis | Dentist | 2590 Tahoe Dr, Sumter, SC 29150-1860 | 2018-07-10 |
| 1891154803 | Gamble Dentalsmart PC | Dentist | 1322 Broad St, Unit 90, Sumter, SC 29150-1984 | 2016-02-18 |
| 1992162317 | Wesmark Dental Health Center | Dentist | 45 W Wesmark Blvd, Sumter, SC 29150-1955 | 2016-01-16 |
| 1235391665 | Sylvester Adu Boahene | Dentist | 1121 Broad St Ste 46, Sumter, SC 29150-1902 | 2008-06-26 |
| 1184849283 | Russell Charles Hurst Jr. | Dentist | 40 Wesmark Ct, Sumter, SC 29150-1996 | 2007-04-16 |
| 1659494565 | Todd A Tidwell | Dentist | 1121 Broad Street, Suite 46, Sumter, SC 29150 | 2007-04-06 |
| 1588792998 | Dental Team of Sumter, P.a. | Dentist | 5635 Broad St Ext, Sumter, SC 29154 | 2007-02-28 |
| 1265582811 | Timothy E Garrity | Dentist | 2545 Tahoe Dr, Sumter, SC 29150-1861 | 2007-01-12 |
| 1366592917 | William T Noonan Jr. | Dentist | 2590 Tahoe Drive, Sumter, SC 29150 | 2007-01-12 |
| Find all providers in SUMTER | ||||
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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.