FLORENCE SMILES YOUTH DENTISTRY, LLC (NPI# 1235109042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235109042 |
| Entity Type | Organization |
| Organization Name | FLORENCE SMILES YOUTH DENTISTRY, LLC |
| Practice Address |
943 S Irby St Florence SC 29501-5217 |
| Mailing Address |
16 Arcade Unit 198747 Nashville TN 37219-1994 |
| Practice Telephone | 8436730075 |
| Practice Fax Number | 8436730024 |
| Mailing Telephone | 6157500343 |
| Mailing Fax Number | 6159861705 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2014-07-09 |
| Authorized Official Name | MS. JENELL STUMP (SPECIALIST) |
| Authorized Official Telephone | 6157500343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZA9556 | 05 |
| Street Address |
943 S IRBY ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-5217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447220256 | Angela Bailey Mcfadden | Dentist | 943 S Irby St, Florence, SC 29501-5217 | 2006-01-24 |
| 1720271521 | Creed White Judkins | Dentist | 943 S Irby St, Suite A, Florence, SC 29501-5238 | 2007-08-24 |
| 1346219524 | Henry Otto Lorin | Dentist | 943 S Irby St, Suite A, Florence, SC 29501-5217 | 2006-03-17 |
| 1932174893 | Lilian Borja Martin-ventura | Dentist | 943 S Irby St, Ste A, Florence, SC 29501-5238 | 2006-02-22 |
| 1952371783 | Medrina B Gilliam | Dentist | 943 S Irby St, Florence, SC 29501-5217 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| 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 |
|---|---|---|---|---|
| 1336759802 | Dharaben Gajjar | Dentist | 718 Muirfield Pl, Florence, SC 29501-8718 | 2020-08-08 |
| 1720698566 | Travis Alcorn | Dentist | 2750 Kingwood St, Florence, OR 97439-9556 | 2020-08-06 |
| 1144875444 | Steven Mee | Dentist | 1225 Us - 101, Florence, OR 97439 | 2019-08-05 |
| 1902468283 | Austin Larkin Smith | Dentist | 7901 Mall Rd Ste 500, Florence, KY 41042-3419 | 2019-07-08 |
| 1750819397 | Allyson Paige Engle | Dentist | 7668 Mall Rd Unit B, Florence, KY 41042-1593 | 2017-05-26 |
| 1104225325 | Irby Street Dental Health Center, P.C. | Dentist | 943 S Irby St Unit A, Florence, SC 29501-5238 | 2014-08-14 |
| 1881012755 | Carlos Lavor Weekly | Dentist | 1305 East Butte, Florence, AZ 85132 | 2014-03-28 |
| 1972842805 | Saishree Amin | Dentist | 310 Cox Creek Pkwy, Florence, AL 35630-1540 | 2013-02-13 |
| 1588929848 | Patricia Jordan Fast | Dentist | 1507 Heritage Ln, Suite A, Florence, SC 29505-3141 | 2012-07-11 |
| 1053678516 | Florence Dental Clinic | Dentist | 2750 Kingwood, Florence, OR 97430 | 2012-04-20 |
| Find all providers in FLORENCE | ||||
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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.