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KOOL SMILES PC NPI 1871682328


NPI Information

NPI: 1871682328
Provider Name: KOOL SMILES, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3203 W BLUE RIDGE DR
GREENVILLE, SC
ZIP 29611
Phone: (800) 920-9947
Get Directions

KOOL SMILES, PC is a general practice dentist in Greenville, 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. KOOL SMILES, PC NPI is 1871682328. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3203 W BLUE RIDGE DR
GREENVILLE, SC
ZIP 29611-905
Phone: (800) 920-9947
Fax: (678) 904-5669

The provider's authorized official is Tu Tran .
The authorized official title is President and has the following contact phone number (770) 916-5028.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 12/18/2014.


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
11223E0200XDentistEndodonticsNo
21223S0112XDentistOral and Maxillofacial SurgeryNo
31223G0001XDentistGeneral PracticeYes

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: 4/28/2024

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