SOUTH CAROLINA DENTAL SLEEP CENTER, LLC (NPI# 1255882908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255882908 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA DENTAL SLEEP CENTER, LLC |
| Other Organization Name | SC DENTAL SLEEP CENTER, LLC |
| Practice Address |
1405 Brushy Creek Rd Ste B Taylors SC 29687-4008 |
| Mailing Address |
110 Villa Rd Greenville SC 29615-3010 |
| Practice Telephone | 8642077141 |
| Practice Fax Number | 8647517329 |
| Mailing Telephone | 8642821935 |
| Mailing Fax Number | 8642821955 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2019-01-10 |
| Authorized Official Name | BETH LOUISE ILLSLEY (DIRECTOR OF INSURANCE) |
| Authorized Official Telephone | 8642821935 |
| Is Organization Subpart | Y |
| Parent Organization Name | FDH HOLDINGS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| SC Dental Sleep Center, LLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1405 Brushy Creek Rd, Building 2, Suite B, Taylors, SC 296874008 | 8642077147 | 8642821955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669039483 | South Carolina Dental Sleep Center, LLC | Dentist | 216 Scuffletown Rd Ste A, Simpsonville, SC 29681-7296 | 2019-05-28 |
| Street Address |
1405 BRUSHY CREEK RD STE B |
| City | TAYLORS |
| State | SC |
| Zip Code | 29687-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070862 | Allison Brooke Leach | Registered Nurse | 505 Dewy Meadows Drive, Taylors, SC 29687 | 2020-07-12 |
| 1437500832 | Andrew Hunter Denardo | Dentist | 2801 Wade Hampton Blvd Ste 118, Taylors, SC 29687 | 2016-06-27 |
| 1629163951 | Patricia Sue Rowe | Chiropractor | 3575 Rutherford Rd Ext Suite C, Taylors, SC 29687 | 2006-10-03 |
| 1265547889 | Diabetic Services Inc | Durable Medical Equipment & Medical Supplies | 202 Bendingwood Circle, Taylors, SC 29687 | 2006-08-21 |
| 1336608033 | Taylors Free Medical Clinic, Inc. | Clinic/Center | 400 West Main Street, Taylors, SC 29687 | 2019-03-13 |
| 1528544368 | Allison F Doot | Pharmacist | 3300 Wade Hampton Blvd, Taylors, SC 29687 | 2018-07-16 |
| 1518330323 | Kelsey Mariah Matthews | Physician Assistant | 3551a Rutherford Rd, Taylors, SC 29687 | 2015-11-03 |
| 1619378478 | Justin Jennings | Pharmacist | 3027 Wade Hampton Blvd, Taylors, SC 29687 | 2014-09-11 |
| 1770839219 | Emily Gilstrap Colao | Dentist | 2801 Wade Hampton Blvd, Suite 118, Taylors, SC 29687 | 2012-08-02 |
| 1730479288 | Christopher Lee Howlett | Dentist | 2 E Lee Rd, Taylors, SC 29687 | 2011-04-17 |
| Find all providers in zip 29687 | ||||
| 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 |
|---|---|---|---|---|
| 1063901635 | Jim Nasim, Dmd, Pa | Dentist | 2830 Wade Hampton Blvd Ste 5, Taylors, SC 29687-2751 | 2018-05-09 |
| 1114365137 | Taylos Dental, LLC | Dentist | 3220 Wade Hampton Blvd, Taylors, SC 29687-2860 | 2013-06-12 |
| 1982920617 | Family Dental Health of Blue Ridge, LLC | Dentist | 2543 Locust Hill Rd, Taylors, SC 29687-5835 | 2010-04-20 |
| 1578701629 | Sonrisas Hermosas | Dentist | 4501 Old Spartanburg Rd Ste 3, Taylors, SC 29687-4105 | 2009-01-28 |
| 1629213905 | Jeffrey Don Kelley | Dentist | 4501 Old Spartanburg Rd Ste 4, Taylors, SC 29687-4105 | 2008-12-15 |
| 1205059060 | William Randall Donovan | Dentist | 3228b Wade Hampton Blvd, Taylors, SC 29687-2804 | 2007-04-10 |
| 1346246006 | Harry Lee Davis IIi | Dentist | 2 E Lee Rd, Taylors, SC 29687-3238 | 2005-06-27 |
| 1013442078 | Jonathan Elliot Fryml | Dentist | 1405 Brushy Creek Rd, Taylors, SC 29687-4008 | 2017-04-27 |
| 1134591530 | Hampton Woods Dental, P.C. | Dentist | 2 E Lee Rd, Taylors, SC 29687-3238 | 2015-10-24 |
| 1245612712 | Sarah Amelia Wyrick | Dentist | 4328 Wade Hampton Blvd, Suite #f, Taylors, SC 29687-2252 | 2015-06-22 |
| Find all providers in TAYLORS | ||||
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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.