KOOL SMILES SC-2, PC (NPI# 1972898666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972898666 |
| Entity Type | Organization |
| Organization Name | KOOL SMILES SC-2, PC |
| Other Organization Name | KOOL SMILES |
| Practice Address |
629 Highway 28 Byp Anderson SC 29624-3009 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 7709169000 |
| Mailing Telephone | 7709169000 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2014-12-18 |
| Authorized Official Name | DAVID VIETH (PRESIDENT) |
| Authorized Official Telephone | 7709165028 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Kool Smiles | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568775468 | Kool Smiles Sc-2, PC | Dentist | 5422 Forest Dr, Columbia, SC 29206-5412 | 2010-07-20 |
| 1992018899 | Kool Smiles Sc-2, PC | Dentist | 4400 Dorchester Rd Ste 108, Charleston, SC 29405-6863 | 2010-07-20 |
| 1952685810 | Kool Smiles Sc-2, PC | Dentist | 2349 Cherry Rd, Rock Hill, SC 29732-3169 | 2011-10-10 |
| 1063708410 | Kool Smiles Sc-2, PC | Dentist | 1350 Grove Park Dr, Orangeburg, SC 29115-2455 | 2011-06-23 |
| 1386951796 | Kool Smiles Sc-2, PC | Dentist | 3 K Mart Plz, Greenville, SC 29605-4442 | 2010-09-07 |
| Street Address |
629 HIGHWAY 28 BYP |
| City | ANDERSON |
| State | SC |
| Zip Code | 29624-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861558751 | Cynthia C Loyd Baldwin | Dentist | 629 Highway 28 Byp, Anderson, SC 29624-3009 | 2006-12-28 |
| 1407020647 | Judith Henry | Dentist | 629 Highway 28 Byp, Anderson, SC 29624-3009 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598281255 | Developmental Center for Exceptional Children | Physical Therapist | 1100 West Franklin Street, Anderson, SC 29624 | 2017-08-15 |
| 1700975364 | Edgar Leland Talbert | General Practice | 1028 South Main Street, Anderson, SC 29624 | 2006-10-12 |
| 1629181060 | Robert Glenn Austin | Dentist | 218-a East Shockley Ferry Rd, Anderson, SC 29624 | 2006-08-17 |
| 1184103178 | William Stephen Leonard | Pharmacist | 922 Highway 28 Byp, Anderson, SC 29624-1114 | 2018-08-09 |
| 1245260389 | Hrbacek Chiropractic | Chiropractor | 918 Hwy 28 By Pass, Anderson, SC 29624-1114 | 2006-07-04 |
| 1558327452 | Shannon Hatchell Farr | Chiropractor | 918 Highway 28 Byp, Anderson, SC 29624-1114 | 2006-04-21 |
| 1538434261 | Healthsource of Anderson-west | Chiropractor | 918 Highway 28 Byp, Anderson, SC 29624-1114 | 2012-03-13 |
| 1184639270 | Walgreen Co | Pharmacy | 2539 W Whitner St, Anderson, SC 29624-1146 | 2006-07-29 |
| 1730637968 | Joey Alexander Mink | Pharmacist | 2539 W Whitner St, Anderson, SC 29624-1146 | 2016-09-16 |
| 1225461700 | Lacie Tijerina | Pharmacist | 2539 W Whitner St, Anderson, SC 29624-1146 | 2013-08-19 |
| Find all providers in zip 29624 | ||||
| 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 |
|---|---|---|---|---|
| 1619455417 | Eh Dental, LLC | Dentist | 303 E Highland Ave Ste 105, Anderson, SC 29621-4767 | 2018-08-02 |
| 1477964112 | Dental Professionals of Sc, PC | Dentist | 3500 Clemson Blvd, Anderson, SC 29621-1313 | 2014-05-15 |
| 1427484286 | Hopewell Family Dentistry | Dentist | 3728 N. Hwy. 81, Anderson, SC 29621 | 2013-09-24 |
| 1134472699 | Beemer Dentistry, Pa | Dentist | 1512 N Fant St, Anderson, SC 29621-4708 | 2012-10-22 |
| 1235490640 | Jennifer Lynn Raymond | Dentist | 2126 Hwy 81 North, Anderson, SC 29621-1532 | 2012-06-01 |
| 1932410115 | John Michael Waters | Dentist | 512 Reed Rd, Anderson, SC 29621-2058 | 2010-06-23 |
| 1649403197 | Roscoe Sidney Eatherly | Dentist | 508 W Highway 76, Anderson, MO 64831-8548 | 2009-09-01 |
| 1255560108 | Mowlajlo Family and Cosmetic Dentistry,llc | Dentist | 205 E Highland Ave # Avw, Anderson, SC 29621-4711 | 2009-07-13 |
| 1881821064 | William Martin Reuss Iv | Dentist | 1930 North Barney St., Anderson, CA 96007 | 2009-06-16 |
| 1972739910 | Gabrielle Ferguson Cannick | Dentist | 3905 Liberty Hwy, Anderson, SC 29621-1229 | 2009-06-04 |
| Find all providers in ANDERSON | ||||
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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.