CRESTON DENTAL-1, P.C. - NPI 1972687903

Q: What is Creston Dental-1, P.C.'s NPI number?

The NPI number for Creston Dental-1, P.C. is 1972687903. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider was formerly known as Kool Smiles Sc, PC.

Q: What is Creston Dental-1, P.C.'s specialty?

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

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About Creston Dental-1, P.c. NPPES

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

CRESTON DENTAL-1, P.C. (NPI 1972687903), doing business as Kool Smiles Sc, Pc, is a healthcare organization registered as a general practice in Anderson, South Carolina and active in the NPI registry since October 2006. The organization lists Tu Tran, President, as its authorized official.

NPPES Registry Identity

NPI1972687903

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameCRESTON DENTAL-1, P.C.

Location Address3112 N MAIN STAnderson, SC 29621-2763

Mailing Address1090 Northchase Pkwy Se Ste 150Marietta, GA 30067-6407 · (770) 916-5036 · Fax (678) 285-4760

Phone(678) 904-5665

Fax(678) 904-5669

Organization SubpartNo

Authorized OfficialTu TranPresident · (770) 916-9000

Enumeration DateOctober 25, 2006

Last NPPES UpdateMay 13, 2019

✔ NPI 1972687903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X

3112 N MAIN ST, Anderson, SC 29621

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Other Names 1

Former Legal Business NameKool Smiles Sc, Pc

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 Ambetter from Absolute Total Care, Ambetter of North Carolina, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 6

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

DR. ROBERT TODD TIPTON DMD

Dentist (General Practice)