SFD MT. PLEASANT LLC
NPI 1457994196
Dentist - Oral and Maxillofacial Surgery in Mount Pleasant, SC

Active since October 25, 2019
3102 N HIGHWAY 17, MOUNT PLEASANT, SC 29466(843) 871-0842 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 4, 2021, Oct 25, 2019 (2 updates tracked since 2019).

  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery
  • Accepts Insurance

About SFD MT. PLEASANT LLC

This page provides the complete NPI Profile along with additional information for Sfd Mt. Pleasant Llc, a provider established in Mount Pleasant, South Carolina operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1457994196 assigned on October 2019. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Sfd Mt. Pleasant Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Angela E Bazzle (Operations Manager)

NPI
1457994196 Verify this NPI
Provider Name
SFD MT. PLEASANT LLC
Entity Type
Organization
Location Address
3102 N HIGHWAY 17 MOUNT PLEASANT, SC 29466
Location Phone
(843) 871-0842
Mailing Address
1971 N MAIN ST SUMMERVILLE, SC 29486
Mailing Phone
(843) 871-0842
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-25-2019
Last Update Date
02-04-2021
Code Navigator

A dentist like Sfd Mt. Pleasant Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223P0221XDental Providers

Dentist
Pediatric Dentistry

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Secure Dental Gold 1 - PPO
  • Blue Secure Dental Silver 1 - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANGELA E BAZZLE

Authorized Official Title
OPERATIONS MANAGER
Authorized Official Phone
(843) 871-0842

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ZX8766MEDICAID (05)SC 

Reviews for SFD MT. PLEASANT LLC

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Clinic/Center (Oral and Maxillofacial Surgery)
3102 N HIGHWAY 17
MOUNT PLEASANT, SC 29466
Dentist (General Practice)
3102 N HIGHWAY 17
MOUNT PLEASANT, SC 29466
Dentist (Oral and Maxillofacial Surgery)
3102 N HIGHWAY 17
MOUNT PLEASANT, SC 29466
Dentist
3102 N HIGHWAY 17
MT PLEASANT, SC 29466

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457994196, enumerated as an "organization" on October 25, 2019.

The provider is located at 3102 N HIGHWAY 17 MOUNT PLEASANT, SC 29466 and the phone number is (843) 871-0842.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Medicare. Please consult your insurance carrier or call the provider to verify.