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SWEETGRASS DENTAL ASSOCIATES DDS PC NPI 1023661998


NPI Information

NPI: 1023661998
Provider Name: SWEETGRASS DENTAL ASSOCIATES DDS, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4950 CENTRE POINTE DR STE 114
NORTH CHARLESTON, SC
ZIP 29418
Phone: (843) 709-7116
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SWEETGRASS DENTAL ASSOCIATES DDS, PC is a general practice dentist in North Charleston, SC. The provider is 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. SWEETGRASS DENTAL ASSOCIATES DDS, PC NPI is 1023661998. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4950 CENTRE POINTE DR STE 114
NORTH CHARLESTON, SC
ZIP 29418-929
Phone: (843) 709-7116

The provider's authorized official is Shawn Mitchell .
The authorized official title is Owner/dentist and has the following contact phone number (843) 823-6530.

The enumeration date for this NPI number is 7/19/2019 and was last updated on 4/20/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11720490063OTHERINDIVIDUAL NPI
2FM6361276OTHERWYOMINGDEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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