1. Home
  2. Directory
  3. South Carolina
  4. Mt Pleasant
  5. Dentist
  6. NPI Profile

TEETH SPECIALTY CENTER LLC
NPI 1104678028
Dentist - Endodontics in Mt Pleasant, SC

Active since April 03, 2024
910 JOHNNIE DODDS BLVD STE 120, MT PLEASANT, SC 29464(403) 909-0302 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Teeth Specialty Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEETH SPECIALTY CENTER LLC (NPI 1104678028) is a healthcare organization registered as an endodontics in Mt Pleasant, South Carolina and active in the NPI registry since April 2024. The organization lists Luke Liszka, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1104678028
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameTEETH SPECIALTY CENTER LLC
Location Address910 JOHNNIE DODDS BLVD STE 120Mt Pleasant, SC 29464-5909
Mailing Address1010 Ocean Blvd Unit 203Isle Of Palms, SC 29451-1701 · (403) 909-0302
Phone(403) 909-0302
Organization SubpartNo
Authorized OfficialLuke LiszkaPeriodontist · (403) 909-0302
Enumeration DateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1104678028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
910 JOHNNIE DODDS BLVD STE 120, Mt Pleasant, SC 29464
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUKE ALEXANDER LISZKA DMD
Dentist (Periodontics)
910 JOHNNIE DODDS BLVD STE 120
MOUNT PLEASANT, SC 29464
Charleston County (843) 259-2210
DR. ERIN HEATHER MCKENZIE DDS
Dentist (Endodontics)
910 JOHNNIE DODDS BLVD STE 120
MOUNT PLEASANT, SC 29464
Charleston County (843) 288-5010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teeth Specialty Center LLC's NPI number?

The NPI number for Teeth Specialty Center LLC is 1104678028. It was assigned to this organization in the NPPES registry on April 3, 2024.

Where is Teeth Specialty Center LLC located?

Teeth Specialty Center LLC is located at 910 Johnnie Dodds Blvd Ste 120, Mt Pleasant, SC 29464. The listed phone number is (403) 909-0302.

What is Teeth Specialty Center LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Teeth Specialty Center LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Teeth Specialty Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teeth Specialty Center LLC was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.