NPI 1053376491 · live from the CMS NPI Registry
Kids Teeth, LLC
Dentist, Pediatric Dentistry in Mount Pleasant, SC. National Provider Identifier 1053376491, active.
NPI record
| NPI | 1053376491 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Pediatric Dentistry 1223P0221X |
| Practice location | 1130 Professional Ln, Mount Pleasant, SC 29466 |
| Practice phone | 843-216-5879 |
| Mailing address | 1130 Professional Ln, Mt Pleasant, SC 29466 |
| Enumerated | April 19, 2006 |
| Last updated | August 1, 2024 |
| Authorized official | Rebecca Torlay - Kursh, Financial Coordinator |
| Other names | Wrobleski & Macdonald Pediatric Dental Partnership |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Pediatric Dentistry primary | 1223P0221X | 2085 (SC) |
| Dentist, Pediatric Dentistry | 1223P0221X | 3881 (SC) |
| Dentist, Pediatric Dentistry | 1223P0221X | 3863 (SC) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 3030 (SC) |
| Anesthesiology | 207L00000X | 7171 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.