PALMETTO SMILES OF BEAUFORT LLC (NPI# 1821274598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821274598 |
| Entity Type | Organization |
| Organization Name | PALMETTO SMILES OF BEAUFORT LLC |
| Practice Address |
40 Kemmerlin Ln Beaufort SC 29907-2709 |
| Practice Telephone | 8435247645 |
| Mailing Telephone | 8435247645 |
| Enumeration Date | 2008-01-12 |
| Last Update Date | 2008-01-12 |
| Authorized Official Name | DR. JENNIFER LEA BAILEY (DENTIST) |
| Authorized Official Telephone | 8435247645 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4161 | SC | Dental Providers |
| Street Address |
40 KEMMERLIN LN |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29907-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952969131 | Justin S Vanderpool | Dentist | 40 Kemmerlin Ln, Beaufort, SC 29907-2709 | 2019-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285069856 | Smiles By Wyles, LLC | Dentist | 27 A Kemmerlin Lane, Beaufort, SC 29907 | 2013-09-13 |
| 1578803847 | Earthfit Pt LLC | Clinic/Center | 39 Sams Point Rd, Beaufort, SC 29907 | 2013-02-25 |
| 1205130630 | Jane Shinder | Speech-Language Pathologist | 12 Sheridan Road, Beaufort, SC 29907 | 2010-12-28 |
| 1114109618 | Earl Bostick,sr. D.m.d & Assoc. P.a. | Dentist | 102 Sea Island Pwky, Suite J, Beaufort, SC 29907 | 2007-11-27 |
| 1568534782 | Jack M Mcgill Jr. | Dentist | 65 Sams Point Road, Beaufort, SC 29907 | 2006-11-14 |
| 1881612810 | Bruce Kevin Wyles | Dentist | 134 D Ladys Island Drive, Beaufort, SC 29907 | 2006-07-17 |
| 1295767572 | Philip A Cusumano | Internal Medicine | 117 Sea Island Parkway, Beaufort, SC 29907 | 2006-07-07 |
| 1255315024 | Julia B Hetherington | Occupational Therapist | 18 Professional Village Circle, Beaufort, SC 29907 | 2005-12-05 |
| 1780675603 | Heather Riessland Allen | Physician Assistant | 242 Ladys Island Dr, Beaufort, SC 29907 | 2005-10-31 |
| 1528547502 | David P. Babb, Dmd, LLC | Dentist | 109 Sea Island Pkwy, Beaufort, SC 29907 | 2018-08-09 |
| Find all providers in zip 29907 | ||||
| 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 |
|---|---|---|---|---|
| 1699384479 | Jamie Michael Mcwilliams | Dentist | 35 Robert Smalls Pkwy Ste 103, Beaufort, SC 29906-4266 | 2020-07-28 |
| 1437771045 | Sidney Michelle Chadwick | Dentist | 121 Tiffany Way, Beaufort, NC 28516-9432 | 2020-05-18 |
| 1376038687 | Derek Ray Dawson | Dentist | 74 Shadow Moss Dr, Beaufort, SC 29906 | 2018-06-28 |
| 1891286696 | Hannah Lee Thompson | Dentist | 1619 Like Oak St, Beaufort, NC 28516 | 2018-05-29 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1851555635 | William Collins Donovan | Dentist | 65 Sams Point Rd, Beaufort, SC 29907-2010 | 2008-07-11 |
| 1114109618 | Earl Bostick,sr. D.m.d & Assoc. P.a. | Dentist | 102 Sea Island Pwky, Suite J, Beaufort, SC 29907 | 2007-11-27 |
| 1366638462 | Aaron M Bliley | Dentist | 17a Marshellen Dr, Beaufort, SC 29902-6900 | 2007-09-21 |
| 1063535615 | Gregory Reed Campbell | Dentist | 12 Hendersons Way, Beaufort, SC 29907-2146 | 2007-04-09 |
| 1669508099 | Christopher E Mohler | Dentist | 200 Midtown Dr, Beaufort, SC 29906-5203 | 2007-02-27 |
| Find all providers in BEAUFORT | ||||
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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.