KIDZ PLANET PEDIATRIC DENTISTRY - SDA PA


Address: 960 Ribaut Rd Ste 3, Beaufort, SC 29902-5434
Phone: 8436814900

KIDZ PLANET PEDIATRIC DENTISTRY - SDA PA (NPI# 1134735129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134735129
Entity Type Organization
Organization Name KIDZ PLANET PEDIATRIC DENTISTRY - SDA PA
Practice Address 960 Ribaut Rd Ste 3
Beaufort
SC 29902-5434
Practice Telephone 8436814900
Practice Fax Number 8436816431
Mailing Telephone 8436814900
Mailing Fax Number 8436816431
Enumeration Date 2020-09-16
Last Update Date 2020-09-16
Authorized Official Name JENNI CLINE (CREDENTIALING SPECIALIST)
Authorized Official Telephone 4044101340
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist Dental Providers
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447866439 Kidz Planet Pediatric Dentistry - Sda Pa Dentist 625 Skylark Dr, Charleston, SC 29407-5782 2020-09-16
1346856333 Kidz Planet Pediatric Dentistry - Sda Pa Dentist 21 Mathews Dr Ste 1, Hilton Head, SC 29926-3757 2020-09-16
1073129060 Kidz Planet Pediatric Dentistry - Sda Pa Dentist 100 Hamlet Cir, Goose Creek, SC 29445-7111 2020-09-16

Office Location

Street Address 960 RIBAUT RD STE 3
City BEAUFORT
State SC
Zip Code 29902-5434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245838648 Foster Orthodontics, Pa Dentist 960 Ribaut Rd Ste 3, Beaufort, SC 29902-5434 2020-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063024578 Beaufort County Memorial Hospital Family Medicine Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 2020-08-18
1750992475 Fayth Polite Social Worker 2210 Salem Drive East, Beaufort, SC 29902 2020-08-14
1417509530 Andrew Grant Miner Dentist Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 2019-07-09
1376029777 Edward Dela Fuente Counselor Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 2018-07-18
1114440419 Kristin Webb Registered Nurse 607 Wilmington Street, Beaufort, SC 29902 2017-07-19
1326582081 Annemarie Gierling Gault Nurse Practitioner Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 2016-12-14
1114396579 Jacquelyn Faith Proulx Dentist 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 2015-09-16
1386028413 Howard Family Dental - Beaufort, Pllc Dentist 35 Robert Smalls Pkwy, Beaufort, SC 29902 2015-07-18
1598018103 Lisa Marie Johnson Occupational Therapist 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 2012-10-19
1134497860 Jeremy Michael Simmons Pharmacist 2127 Boundary Street, Suite 19, Beaufort, SC 29902 2011-12-08
Find all providers in zip 29902

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and state

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
1457994196 Sfd Mt. Pleasant LLC Dentist 3102 N Highway 17, Mount Pleasant, SC 29466-6925 2019-10-25
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
1588130942 Dentistry for Children of South Carolina PC Dentist 1701 Beaucastel Rd Ste A, Mount Pleasant, SC 29464-3685 2018-10-23
Find all providers with the same taxonomy

Competitor

Search similar providers

City BEAUFORT
Zip Code 29902

Improve Information

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Dataset Information

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.

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