SWEETGRASS PLASTIC SURGERY LLC NPI 1972917680

NPI Information

  • NPI: 1972917680
  • Provider Name: SWEETGRASS PLASTIC SURGERY LLC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • CLIA Number: 42D2105466
  • Address: 102 W 8TH NORTH ST
    SUMMERVILLE, SC
    ZIP 29483
  • Phone: (843) 471-1135

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NPI Details

SWEETGRASS PLASTIC SURGERY LLC is a plastic and reconstructive surgery surgery in Summerville, SC. The provider is a surgeon who specializes in plastic and reconstructive surgery. SWEETGRASS PLASTIC SURGERY LLC NPI is 1972917680. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

102 W 8TH NORTH ST
SUMMERVILLE, SC
ZIP 29483-656
Phone: (843) 471-1135

The provider's authorized official is Dennis K Schimpf .
The authorized official title is Owner and has the following contact phone number (843) 471-1135.

The CLIA number assigned to this NPI record is 42D2105466 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2014 and was last updated on 12/4/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryMD28924SOUTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D909MEDICARE PIN

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: 11/21/2025

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