SPARTANBURG SMILES YOUTH DENTISTRY, LLC
NPI 1679543227
Dentist - General Practice in Spartanburg, SC

Q: What is Spartanburg Smiles Youth Dentistry, LLC's specialty?

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

Active since January 25, 2006

371 WHITNEY RD, SPARTANBURG, SC 29303(864) 515-0485(864) 515-0985 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Spartanburg Smiles Youth Dentistry, Llc NPPES

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

SPARTANBURG SMILES YOUTH DENTISTRY, LLC (NPI 1679543227) is a healthcare organization registered as a general practice in Spartanburg, South Carolina and active in the NPI registry since January 2006. The organization lists Jenell Stump, Manager, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1679543227

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSPARTANBURG SMILES YOUTH DENTISTRY, LLC

Location Address371 WHITNEY RDSpartanburg, SC 29303-3143

Mailing Address16 Arcade Unit 198747Nashville, TN 37219-1994 · (615) 750-0343 · Fax (615) 986-1705

Phone(864) 515-0485

Fax(864) 515-0985

Organization SubpartNo

Authorized OfficialJenell StumpManager, Licensing & Credentialing · (615) 750-0343

Enumeration DateJanuary 25, 2006

Last NPPES UpdateJuly 9, 2014

✔ NPI 1679543227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

371 WHITNEY RD, Spartanburg, SC 29303

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Other Identifiers 1

MedicaidZA9484SC

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

Other Providers at the Same Location NPPES 7

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

WHITNEY ROAD DENTAL HEALTH CENTER, P.C.

Dentist (General Practice)