SMILEOLOGY ECO DENTAL SPA PC (NPI# 1710389879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710389879 |
| Entity Type | Organization |
| Organization Name | SMILEOLOGY ECO DENTAL SPA PC |
| Practice Address |
2106 Mount Pleasant St # P-137 Charleston SC 29403-3026 |
| Mailing Address |
6518 Dorchester Rd Suite A North Charleston SC 29418-5100 |
| Practice Telephone | 8436083188 |
| Mailing Telephone | 8437678555 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-10-15 |
| Authorized Official Name | DR. TRACY PAGE (CEO) |
| Authorized Official Telephone | 4048622004 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
4691 | SC | Ambulatory Health Care Facilities |
| Street Address |
2106 MOUNT PLEASANT ST # P-137 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29403-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780210674 | Samantha Barretta | Behavior Technician | 530 Meeting St, Apt 409, Charleston, SC 29403 | 2020-03-23 |
| 1114497435 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 10 Westedge St, Suite 100, Charleston, SC 29403 | 2018-11-29 |
| 1194266072 | Ashley Rogers Albrecht | Dentist | 29 Bee St, Fourth Floor, Charleston, SC 29403 | 2017-03-13 |
| 1427467307 | Valerie Nicole Garilas | Pharmacist | 1400 Woodruff Road, Greenville, SC 29403 | 2014-08-05 |
| 1467883645 | Disabilities Board of Charleston County | Case Management | 995 Morrison Drive, Suite 100, Charleston, SC 29403 | 2013-12-12 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1205171964 | Brian Sherman | Psychologist | 26a Bee St., Charleston, SC 29403 | 2012-12-06 |
| 1710291455 | Linda Ramsey Bright | Clinical Nurse Specialist | 103 Bee Street, Charleston, SC 29403 | 2010-08-05 |
| 1598990442 | Colleen Lehn Degeorge | Social Worker | 198 Rutledge Avenue, Suite 8, Charleston, SC 29403 | 2009-05-21 |
| 1164618815 | Diane Andrews | Speech-Language Pathologist | Musc Speech Language Pathology, 169 Ashley Ave Msc 335, Charleston, SC 29403 | 2007-09-17 |
| Find all providers in zip 29403 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303770 | Holy City Dentistry LLC | Clinic/Center | 862 Folly Rd Ste 110, Charleston, SC 29412-3452 | 2019-08-29 |
| 1902345630 | Smile On Charleston, LLC | Clinic/Center | 91 Rutledge Ave, Charleston, SC 29401-1722 | 2017-02-14 |
| 1871848218 | Endodontic Associates of Charleston | Clinic/Center | 349 Folly Rd Ste 1c, Charleston, SC 29412-2508 | 2012-07-23 |
| 1295915866 | Charles E Wright Dds | Clinic/Center | 1005b Bridge Rd, Charleston, WV 25314-1305 | 2007-11-12 |
| 1023180528 | Ellis Oaks Dental Center LLC | Clinic/Center | 776 Daniel Ellis Drive, Suite 3a, Charleston, SC 29412 | 2006-11-14 |
| 1740892827 | James Myers IIi LLC | Clinic/Center | 112 1/2 Ashley Ave, Charleston, SC 29401-1249 | 2020-08-19 |
| 1508478777 | Cfd Ji LLC | Clinic/Center | 693 Whispering Marsh Dr, Charleston, SC 29412-4423 | 2020-08-19 |
| 1932711314 | Charleston Family Dentistry of West Ashley | Clinic/Center | 2170 Savannah Hwy, Charleston, SC 29414-5311 | 2020-08-18 |
| 1104468172 | Charleston Dental & Dentures LLC | Clinic/Center | 2020 Savannah Hwy, Charleston, SC 29407-6286 | 2019-10-11 |
| 1740788330 | Joyner Family Dentistry LLC | Clinic/Center | 2030 Wambaw Crk Ste 106, Charleston, SC 29492-8382 | 2018-01-29 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29403 |
Please comment or provide details below to improve the information on SMILEOLOGY ECO DENTAL SPA PC.
| 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.