CAROLINA PARK FAMILY DENTISTRY LLC (NPI# 1851906028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851906028 |
| Entity Type | Organization |
| Organization Name | CAROLINA PARK FAMILY DENTISTRY LLC |
| Practice Address |
3520 Park Avenue Blvd. Suite 100 Mount Pleasant SC 29466-2946 |
| Mailing Address |
1543 Old Rivers Gate Rd Mount Pleasant SC 29466-7567 |
| Practice Telephone | 8436541918 |
| Practice Fax Number | 8436541917 |
| Mailing Telephone | 8436541918 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | DR. ANDREW BELLEBAUM (OWNER) |
| Authorized Official Telephone | 8436541918 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Carolina Park Family Dentistry | Doing Business As Name - Organization |
| Street Address |
3520 PARK AVENUE BLVD. SUITE 100 |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29466-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| Find all providers in zip 29466 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760095434 | Maria Celina Almonte Sanchez | Dentist | 4101 E Blue Grass Rd, Mount Pleasant, MI 48858-7914 | 2020-08-24 |
| 1235628454 | Mynt Dental Racine LLC | Dentist | 6100 Washington Ave, Mount Pleasant, WI 53406-4000 | 2018-05-03 |
| 1417316803 | Gaurav Narang | Dentist | 1401 S. Jefferson Blvd., 4, Mount Pleasant, NV 75455 | 2016-02-15 |
| 1740661925 | Christina Church | Dentist | 3098 N Highway 17, Mount Pleasant, SC 29466-9315 | 2015-06-14 |
| 1255711693 | Tae Ho Kang | Dentist | 5201 Washington Ave Ste A, Mount Pleasant, WI 53406-4242 | 2015-06-01 |
| 1992191621 | Kraisinger Family Dentistry | Dentist | 627 W Main St., Mount Pleasant, PA 15666-1834 | 2015-04-09 |
| 1023431442 | Bella Smiles Pllc | Dentist | 1401 S Jefferson Ave, #4, Mount Pleasant, TX 75455-5643 | 2014-01-22 |
| 1104139385 | Nathan Mcketa | Dentist | 3435 Salterbeck St, Mount Pleasant, SC 29466-7117 | 2010-07-16 |
| 1467680504 | Sasan Molavi | Dentist | 6100 Washington Ave Ste F2, Mount Pleasant, WI 53406-4000 | 2009-06-28 |
| 1437385150 | Deepak Joseph Neduvelil | Dentist | 5201 Washington Ave, Suite A, Mount Pleasant, WI 53406-4242 | 2009-06-09 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29466 |
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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.