SFD MT. PLEASANT LLC (NPI# 1457994196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457994196 |
| Entity Type | Organization |
| Organization Name | SFD MT. PLEASANT LLC |
| Practice Address |
3102 N Highway 17 Mount Pleasant SC 29466-6925 |
| Mailing Address |
1971 N Main St Summerville SC 29486-7890 |
| Practice Telephone | 8438710842 |
| Mailing Telephone | 8438710842 |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |
| Authorized Official Name | ANGELA E BAZZLE (OPERATIONS MANAGER) |
| Authorized Official Telephone | 8438710842 |
| Is Organization Subpart | Y |
| Parent Organization Name | A. FREDERICK SOLOMON DMD P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZX8766 | 05 |
| Street Address |
3102 N HIGHWAY 17 |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29466-6925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| Find all providers in zip 29466 | ||||
| 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 |
|---|---|---|---|---|
| 1588130942 | Dentistry for Children of South Carolina PC | Dentist | 1701 Beaucastel Rd Ste A, Mount Pleasant, SC 29464-3685 | 2018-10-23 |
| 1295242253 | Lowcountry Kids Pediatric Dentistry, LLC | Dentist | 652 Coleman Blvd Ste 100, Mount Pleasant, SC 29464-4061 | 2017-12-29 |
| 1265668248 | Krista Michelle Kunz | Dentist | 3070 N Highway 17 Ste 103, Mount Pleasant, SC 29466-9300 | 2009-06-04 |
| 1043339476 | Tender Care Pediatric Dentistry LLC | Dentist | 6583 Route 819 S, Suite1, Mount Pleasant, PA 15666-3503 | 2007-03-28 |
| 1104212372 | Rosaria Barnes | Dentist | 1701 Beaucastle Rd, Mount Pleasant, SC 29464-3685 | 2015-04-14 |
| 1942429931 | Beatriz De La Roche | Dentist | 6583 Route 819 S, Suite 1, Mount Pleasant, PA 15666-3503 | 2007-04-25 |
| 1689697237 | Kenneth Clyde Thompson | Dentist | 203 W 20th St, Suite B, Mount Pleasant, TX 75455-1100 | 2006-07-25 |
| 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 |
| 1235776568 | Tribe Dental LLC | Dentist | 11 Magnolia Cove Dr, Simpsonville, SC 29680 | 2019-12-05 |
| 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 |
| 1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
| 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 | MOUNT PLEASANT |
| Zip Code | 29466 |
Please comment or provide details below to improve the information on SFD MT. PLEASANT LLC.
| 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.