# SMILEOLOGY DENTAL CLINIC, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942619671
- **Authorized official:** DR. TRACY MICHELLE PAGE DDS (CEO)
- **Authorized official phone:** (843) 767-8555

## Contact information

- **Practice address:** 6518 DORCHESTER RD, SUITE A, NORTH CHARLESTON, SC 29418-5100
- **Practice address phone:** (843) 767-8555
- **Practice address fax:** (843) 793-3344
- **Mailing address:** 6518 DORCHESTER RD, SUITE A, NORTH CHARLESTON, SC 29418-5100
- **Mailing address phone:** (843) 767-8555
- **Mailing address fax:** (843) 793-3344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2014
- **Last updated:** 08/06/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1396940458 | — | SC |