IMMEDIATE DENTAL GROUP LLC - NORTH CHARLESTON (NPI# 1154665776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154665776 |
| Entity Type | Organization |
| Organization Name | IMMEDIATE DENTAL GROUP LLC - NORTH CHARLESTON |
| Other Organization Name | IMMEDIATE DENTAL GROUP LLC |
| Practice Address |
5900 Rivers Ave Unit X North Charleston SC 29406-6054 |
| Practice Telephone | 8434805900 |
| Practice Fax Number | 8434809502 |
| Mailing Telephone | 8434805900 |
| Mailing Fax Number | 8434809502 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2013-01-22 |
| Authorized Official Name | MR. ZACHARY TODD DAUGHERTY (BUSINESS MANAGER) |
| Authorized Official Telephone | 8434809500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Immediate Dental Group LLC | Doing Business As Name - Organization |
| Street Address |
5900 RIVERS AVE UNIT X |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-6054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407818552 | Total Renal Care Inc | Clinic/Center | 5900 Rivers Ave, Ste E, North Charleston, SC 29406-6054 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| 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 |
|---|---|---|---|---|
| 1124574132 | Coosaw Dental, LLC | Dentist | 8626 Dorchester Rd Ste 102, North Charleston, SC 29420-7328 | 2016-08-30 |
| 1508319013 | Alexandra Haase | Dentist | 7398 Rivers Ave, North Charleston, SC 29406-4613 | 2016-08-01 |
| 1811344732 | Jennifer Plyler Newsome | Dentist | 8471 Resolute Way Ste 104, North Charleston, SC 29420-7390 | 2016-05-20 |
| 1104273481 | All Smiles Family Dentistry, LLC | Dentist | 1098 E Montague Ave, North Charleston, SC 29405-4837 | 2016-05-17 |
| 1174917629 | Jessica Peele | Dentist | 1174 Leesville St, North Charleston, SC 29405-4741 | 2015-03-23 |
| 1831485010 | Jennifer Lynn Sielski | Dentist | 7800 Rivers Ave Ste 1640, North Charleston, SC 29406-4076 | 2011-06-25 |
| 1881825933 | Thomas Nelson Pare IIi IIi | Dentist | 8626 Dorchester Road, Ste 102, Coosaw Dental, North Charleston, SC 29420 | 2009-08-06 |
| 1518128032 | Michael Gary Morrison | Dentist | 8731-d Northpark Boulevard, North Charleston, SC 29406-9264 | 2008-06-18 |
| 1831371913 | Raymond S Vicente Dmd LLC | Dentist | 7481 Northside Drive, Suite A, North Charleston, SC 29420-4282 | 2007-11-30 |
| 1508066242 | Ashley Dental Associates | Dentist | 3210 Landmark Drive, Suite D, North Charleston, SC 29418 | 2007-07-20 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
Please comment or provide details below to improve the information on IMMEDIATE DENTAL GROUP LLC - NORTH CHARLESTON.
| 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.