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SMILE CENTER OF KNIGHTSVILLE
NPI 1558543249
Dentist - General Practice in Summerville, SC

Active since December 04, 2007
100 OMALLEY DR, SUITE B, SUMMERVILLE, SC 29483(843) 261-0123(843) 261-0125 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Smile Center Of Knightsville NPPES

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

SMILE CENTER OF KNIGHTSVILLE (NPI 1558543249) is a healthcare organization registered as a general practice in Summerville, South Carolina and active in the NPI registry since December 2007. The organization lists Jeanine Alicia Gourdine, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1558543249
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMILE CENTER OF KNIGHTSVILLE
Location Address100 OMALLEY DR, SUITE BSummerville, SC 29483-5635
Mailing Address100 Omalley Dr, Suite BSummerville, SC 29483-5635 · (843) 261-0123 · Fax (843) 261-0125
Phone(843) 261-0123
Fax(843) 261-0125
Organization SubpartNo
Authorized OfficialJeanine Alicia GourdineOwner/dentist · (843) 261-0123
Enumeration DateDecember 4, 2007
✔ NPI 1558543249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 4061
Definition
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.
100 OMALLEY DR, Summerville, SC 29483
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Other Names 1

Doing Business AsSmile Center Of Knightsville

Other Identifiers 1

MedicaidZX4061SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

Other Providers at the Same Location NPPES

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

JEANINE ALICIA GOURDINE D.M.D.
Dentist (General Practice)
100 OMALLEY DR, SUITE B
SUMMERVILLE, SC 29483
Berkeley County (843) 261-0123

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 Smile Center Of Knightsville's NPI number?

The NPI number for Smile Center Of Knightsville is 1558543249. It was assigned to this organization in the NPPES registry on December 4, 2007.

Where is Smile Center Of Knightsville located?

Smile Center Of Knightsville is located at 100 Omalley Dr Suite B, Summerville, SC 29483. The listed phone number is (843) 261-0123.

What is Smile Center Of Knightsville's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Smile Center Of Knightsville accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Smile Center Of Knightsville 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 Smile Center Of Knightsville was last updated on December 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.