DENTISTRY FOR CHILDREN OF SOUTH CAROLINA PC (NPI# 1376955351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376955351 |
| Entity Type | Organization |
| Organization Name | DENTISTRY FOR CHILDREN OF SOUTH CAROLINA PC |
| Practice Address |
1767 S Lake Dr Ste A Lexington SC 29073-6734 |
| Mailing Address |
1350 Spring St Nw Ste 600 Atlanta GA 30309-2864 |
| Practice Telephone | 4043891950 |
| Mailing Telephone | 4043891950 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |
| Authorized Official Name | DR. CHARLES O COULTER (OWNER) |
| Authorized Official Telephone | 4043891950 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN013607 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588130942 | Dentistry for Children of South Carolina PC | Dentist | 1701 Beaucastel Rd Ste A, Mount Pleasant, SC 29464-3685 | 2018-10-23 |
| 1063901692 | Dentistry for Children of South Carolina PC | Dentist | 996 Tanner Ford Blvd, Hanahan, SC 29410-4780 | 2018-05-09 |
| 1740788611 | Dentistry for Children of South Carolina PC | Dentist | 305 Ashby Park Ln, Greenville, SC 29607-6903 | 2018-01-25 |
| 1952713927 | Dentistry for Children of South Carolina PC | Dentist | 203 N Lake Dr, Lexington, SC 29072-2833 | 2014-05-27 |
| Street Address |
1767 S LAKE DR STE A |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29073-6734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730415092 | Wild Smiles White Knoll Family Dentistry, LLC | Dentist | 1767 S Lake Dr, Suite # A, Lexington, SC 29073-6734 | 2009-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464953 | Alexandra Maria Schutz | Dentist | 5443 Platt Springs Rd, Lexington, SC 29073 | 2018-07-20 |
| 1649769704 | Alecia Kristy Mckellar | Nurse Practitioner | 132 Mclee Road, Lexington, SC 29073 | 2018-05-04 |
| 1457712143 | Bela Family Dentistry of White Knoll | Dentist | 1915 Southlake Dr., Lexington, SC 29073 | 2016-03-09 |
| 1326431404 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 4458 Augusta Road Suite 1b, Lexington, SC 29073 | 2015-03-12 |
| 1821419102 | Megan Gadson | Counselor | 1068 South Lake Dr., Lexington, SC 29073 | 2014-01-03 |
| 1780937789 | Craig Elliott Pfeifer | Specialist/Technologist | 755 Colina Ct, Lexington, SC 29073 | 2012-10-16 |
| 1376893875 | Mary Glenn | Pharmacist | 1071 S. Lake Dr., Lexington, SC 29073 | 2012-09-12 |
| 1831471119 | Adam Dutton Redmond | Military Health Care Provider | 4346 Augusta Road, Lexington, CA 29073 | 2011-09-13 |
| 1033341433 | White Knoll Dentistry, LLC | Clinic/Center | 5545 Platt Springs Rd, Lexington, SC 29073 | 2009-08-18 |
| 1073748687 | Jacqueline Abrams | Behavioral Analyst | 460 Pin Oak Dr, Lexington, SC 29073 | 2009-05-27 |
| Find all providers in zip 29073 | ||||
| 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 |
|---|---|---|---|---|
| 1164876280 | Kyle Clayton Kirk | Dentist | 2517 Sir Barton Way # 200, Lexington, KY 40509 | 2016-04-14 |
| 1528429644 | Stephanie Silva | Dentist | 5080 Sunset Blvd Ste B, Lexington, SC 29072-7051 | 2016-03-16 |
| 1841667037 | Midlands Pediatric Dentistry LLC | Dentist | 253 Cedarcrest Dr, Lexington, SC 29072-3812 | 2015-08-24 |
| 1639571607 | Sunset Children's Dentistry | Dentist | 5080 Sunset Blvd, Suite B, Lexington, SC 29072-7051 | 2014-09-22 |
| 1043655392 | Emilee Young Sexton | Dentist | 2549 Sun Seeker Ct, Lexington, KY 40503-2980 | 2013-04-30 |
| 1295920346 | Wild Smiles, LLC | Dentist | 203 North Lake Drive, Lexington, SC 29072 | 2007-09-12 |
| 1639361785 | Daniel John Steckler | Dentist | Ky Clinic Dentistry, Room A-219, Lexington, KY 40536-0001 | 2007-08-13 |
| 1699975904 | Justin C. Clemens | Dentist | 620 Perimeter Dr., Suite 103, Lexington, KY 40517 | 2007-07-24 |
| 1417078726 | Tommy Christopher Burke | Dentist | 10855 Highway 412 W, Lexington, TN 38351-6283 | 2007-04-03 |
| 1699819524 | Dentistry for Children | Dentist | 216 Fountain Court, Suite 150, Lexington, KY 40509 | 2007-02-16 |
| Find all providers in LEXINGTON | ||||
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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.