FAMILY ORTHODONTICS OF S. CAROLINA, LLC (NPI# 1649693177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649693177 |
| Entity Type | Organization |
| Organization Name | FAMILY ORTHODONTICS OF S. CAROLINA, LLC |
| Practice Address |
302b Midland Pkwy Summerville SC 29485-8102 |
| Mailing Address |
1350 Spring St Nw Ste 600 Atlanta GA 30309-2864 |
| Practice Telephone | 8438213162 |
| Practice Fax Number | 6784444152 |
| Mailing Telephone | 4043891950 |
| Mailing Fax Number | 6784444152 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |
| Authorized Official Name | JEANNINE BARTCH (MANAGER) |
| Authorized Official Telephone | 4043891950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4396 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336563659 | Family Orthodontics of S. Carolina, LLC | Dentist | 8730 Northpark Blvd, Ste A, North Charleston, SC 29406-9265 | 2014-02-06 |
| 1043634363 | Family Orthodontics of S. Carolina, LLC | Dentist | 712 Saint Andrews Blvd, Charleston, SC 29407-7141 | 2014-02-06 |
| Street Address |
302B MIDLAND PKWY |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518202720 | Dentistry for Children of South Carolina, PC | Dentist | 302b Midland Pkwy, Summerville, SC 29485-8102 | 2012-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225273972 | Robert Beasley Gamble Jr. | Dentist | 504 N Pine St, Summerville, SC 29483-6555 | 2008-12-10 |
| 1952568966 | Kenneth Britt Reagin | Dentist | 401 W 4th N Street, Summerville, SC 29483 | 2008-05-19 |
| 1447379979 | Charles D. Dean IIi | Dentist | 401 W 4th North St, Summerville, SC 29483-6547 | 2007-03-28 |
| 1245398940 | Alan Barbieri | Dentist | 100 Harth Pl, Summerville, SC 29485-8107 | 2006-12-05 |
| 1396803151 | Roland Kirk Fulcher | Dentist | 508 N Pine St, Summerville, SC 29483-6555 | 2006-12-05 |
| 1912510785 | Foster Orthodontics, Pa | Dentist | 1710 Trolley Rd Ste A, Summerville, SC 29485-8281 | 2020-08-31 |
| 1275006272 | Kathryn Bullwinkel Dmd Ms LLC | Dentist | 405 W 5th North St, Summerville, SC 29483-6515 | 2019-01-02 |
| 1861653057 | Denise Carroll Swasty | Dentist | 1710 Trolley Rd Ste A, Summerville, SC 29485-8281 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
| 1518570902 | Foster Orthodontics, Pa | Dentist | 100 Hamlet Cir, Goose Creek, SC 29445-7111 | 2020-08-26 |
| 1740893122 | Foster Orthodontics, Pa | Dentist | 625 Skylark Dr, Charleston, SC 29407-5782 | 2020-08-26 |
| 1629602065 | Keith William Street | Dentist | 1460 John B White Sr Blvd Ste 1-5, Spartanburg, SC 29306-3996 | 2020-02-25 |
| 1225678931 | Rekha Wadhwa | Dentist | 100 Woodruff Place Cir, Simpsonville, SC 29681-3672 | 2020-01-10 |
| 1952965345 | Align America Sc, LLC | Dentist | 259 Textile Way Ste 103, Fort Mill, SC 29715-4550 | 2019-05-01 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1699267021 | Trevan Samp | Dentist | 22 Westedge St Ste 106b, Charleston, SC 29403-6983 | 2018-06-01 |
| 1548759244 | Smile Doctors of South Carolina, P.C. | Dentist | 105 Ben Casey Dr Ste 109, Fort Mill, SC 29708-8557 | 2018-05-08 |
| 1386158541 | Katherine Dean Solomon | Dentist | 102 Buckwalter Pkwy Ste 3j, Bluffton, SC 29910-4130 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
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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.