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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: August 09, 2026.

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

About Sfd Mt. Pleasant Llc NPPES

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

SFD MT. PLEASANT LLC (NPI 1457994196) is a healthcare organization registered as an oral and maxillofacial surgery in Mount Pleasant, South Carolina and active in the NPI registry since October 2019. The organization lists Angela E Bazzle, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1457994196
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSFD MT. PLEASANT LLC
Location Address3102 N HIGHWAY 17Mount Pleasant, SC 29466-6925
Mailing Address1971 N Main StSummerville, SC 29486-7890 · (843) 871-0842
Phone(843) 871-0842
Organization SubpartYesParent: A. Frederick Solomon Dmd P.a.
Authorized OfficialAngela E BazzleOperations Manager · (843) 871-0842
Enumeration DateOctober 25, 2019
Last NPPES UpdateFebruary 4, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
✔ NPI 1457994196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
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.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
3102 N HIGHWAY 17, Mount Pleasant, SC 29466
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Other Identifiers 1

MedicaidZX8766SC

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 4

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

DR. ERIC OLENDORF DDS
Dentist (Oral and Maxillofacial Surgery)
3102 N HIGHWAY 17
MOUNT PLEASANT, SC 29466
Charleston County (843) 970-7292
SOLOMON ORAL SURGERY LLC
Clinic/Center (Oral and Maxillofacial Surgery)
3102 N HIGHWAY 17
MOUNT PLEASANT, SC 29466
Charleston County (843) 871-0842
DR. CAROLINA BRAGA DMD
Dentist
3102 N HIGHWAY 17
MT PLEASANT, SC 29466
Charleston County (843) 970-7292
NICHOLAS EVAN BOWERMAN DDS
Dentist (General Practice)
3102 N HIGHWAY 17
MOUNT PLEASANT, SC 29466
Charleston County (843) 970-7292

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 Sfd Mt. Pleasant LLC's NPI number?

The NPI number for Sfd Mt. Pleasant LLC is 1457994196. It was assigned to this organization in the NPPES registry on October 25, 2019.

Where is Sfd Mt. Pleasant LLC located?

Sfd Mt. Pleasant LLC is located at 3102 N Highway 17, Mount Pleasant, SC 29466. The listed phone number is (843) 871-0842.

What is Sfd Mt. Pleasant LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Sfd Mt. Pleasant LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Sfd Mt. Pleasant 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 Sfd Mt. Pleasant LLC was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.