TRIBE DENTAL LLC (NPI# 1235776568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235776568 |
| Entity Type | Organization |
| Organization Name | TRIBE DENTAL LLC |
| Other Organization Name | SMILE PLACE |
| Practice Address |
11 Magnolia Cove Dr Simpsonville SC 29680 |
| Mailing Address |
206 Kilgore Farms Cir Simpsonville SC 29681-6389 |
| Practice Telephone | 8646104485 |
| Mailing Telephone | 7242638210 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2020-01-05 |
| Authorized Official Name | DR. LEANNA SHETLER (OWNER) |
| Authorized Official Telephone | 7242638210 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Smile Place | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 219 Batesville Rd, Simpsonville, SC 296814816 | 8646104485 |
| Street Address |
11 MAGNOLIA COVE DR |
| City | SIMPSONVILLE |
| State | SC |
| Zip Code | 29680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255860243 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 704 Fairview Rd., Simpsonville, SC 29680 | 2017-06-05 |
| 1588061998 | Wrights Care Services LLC | Community/Behavioral Health | 504 Boyd Ave, Simpsonville, SC 29680 | 2014-12-01 |
| 1619389590 | Nina Christine Mckenzie | Speech-Language Pathologist | 303 Barrett Chase Dr, Simpsonville, SC 29680 | 2014-05-27 |
| 1275878761 | Stepping Stones Therapy Services | Speech-Language Pathologist | 501 Westbury Way, Simpsonville, SC 29680 | 2012-12-10 |
| 1295085363 | Wael D Nasr | Pharmacist | 698 Fairview Rd., Simpsonville, SC 29680 | 2012-09-14 |
| 1285984831 | Courtney Sands | Pharmacist | 914 West Georgia Road, Simpsonville, SC 29680 | 2012-09-11 |
| 1245589175 | Jeegar Patel | Pharmacist | 914 West Georgia Rd, Simpsonville, SC 29680 | 2012-09-06 |
| 1083847024 | Still Waters Therapeutic Massage & Wellness Clinic | Massage Therapist | 452 North Main St., Six Mile, SC 29680 | 2009-08-25 |
| 1104849314 | Victor Paul Lebedovych | Dentist | 634 Fairview Rd, Building C, Simspnville, SC 29680 | 2006-07-26 |
| 1871528208 | Regina A. Castel | Psychiatry & Neurology | Saunders & Co. Cpa's, 210 East Trade St., Simpsonville, SC 29680 | 2006-07-12 |
| Find all providers in zip 29680 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
| 1982715314 | Ann Marie Bynum | Dentist | 1334 Highway 14, Simpsonville, SC 29681-5659 | 2006-08-31 |
| 1467800714 | Apple Seeds Pediatric Dentistry of Five Forks, LLC | Dentist | 216 Scuffletown Rd Ste E, Simpsonville, SC 29681-7296 | 2016-05-27 |
| 1083008890 | Holly Tree Family Dental, Pa | Dentist | 1334 Highway 14, Simpsonville, SC 29681-5659 | 2015-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598493 | Pleasant Mill Pediatric Dentistry | Dentist | 1690 Highway 160 W Ste A, Fort Mill, SC 29708-8024 | 2020-11-02 |
| 1124635495 | Destination Dental of Duncan LLC | Dentist | 155 Deacon Tiller Ct, Duncan, SC 29334-8880 | 2020-09-30 |
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1811519507 | Stephanie Silva Dmd, LLC | Dentist | 133 Allen Court, North Augusta, SC 29860 | 2020-05-15 |
| 1457994196 | Sfd Mt. Pleasant LLC | Dentist | 3102 N Highway 17, Mount Pleasant, SC 29466-6925 | 2019-10-25 |
| 1073162053 | Southern Charm Pediatric Dentistry | Dentist | 2021 Bridgemill Rd., Suite 108, Indian Land, SC 29707-2817 | 2019-09-11 |
| 1649825969 | Oak Landing Pediatric Dentistry, LLC | Dentist | 2001 2nd Ave Ste 102, Summerville, SC 29486-7887 | 2019-08-04 |
| 1588130942 | Dentistry for Children of South Carolina PC | Dentist | 1701 Beaucastel Rd Ste A, Mount Pleasant, SC 29464-3685 | 2018-10-23 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1134616675 | Belinda Ho Phan | Dentist | 23 N Main St Ste 302, Hilton Head Island, SC 29926-6607 | 2018-04-19 |
| Find all providers with the same taxonomy | ||||
| City | SIMPSONVILLE |
| Zip Code | 29680 |
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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.