MAVERICK SMILES, LLC
NPI 1689227381
Clinic/Center - Dental in Mauldin, SC

Active since July 22, 2019
20 OWENS LN, MAULDIN, SC 29662(864) 243-8593 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2025, Jul 22, 2019 (2 updates tracked since 2019).

About Maverick Smiles, Llc NPPES

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

MAVERICK SMILES, LLC (NPI 1689227381), doing business as Maverick Smiles Pediatric Dentistry, is a healthcare organization registered as a dental in Mauldin, South Carolina and active in the NPI registry since July 2019. The organization maintains a secondary practice location in Fountain Inn and lists Mary Alice Vickery Hughes, Owner, as its authorized official.

NPPES Registry Identity

NPI1689227381
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMAVERICK SMILES, LLC
Location Address20 OWENS LNMauldin, SC 29662-2634
Mailing Address20 Owens LnMauldin, SC 29662-2634 · (864) 243-8593
Organization SubpartNo
Authorized OfficialMary Alice Vickery HughesOwner · (864) 414-5918
Enumeration DateJuly 22, 2019
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
NPI 1689227381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
20 OWENS LN, Mauldin, SC 29662

Other Names 1

Doing Business AsMaverick Smiles Pediatric Dentistry

Secondary Practice Location 1

Location 1101 Milacron DriveFountain Inn, SC 29644 · Phone (864) 243-8593

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 Maverick Smiles, LLC's NPI number?

The NPI number for Maverick Smiles, LLC is 1689227381. It was assigned to this organization in the NPPES registry on July 22, 2019. The provider is doing business as Maverick Smiles Pediatric Dentistry.

Where is Maverick Smiles, LLC located?

Maverick Smiles, LLC is located at 20 Owens Ln, Mauldin, SC 29662. The listed phone number is (864) 243-8593.

What is Maverick Smiles, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Maverick Smiles, LLC was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.