MEDICARE: MOUNT PLEASANT ORTHODONTICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1548194111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNT PLEASANT ORTHODONTICS LLC

Provider Business Mailing Address
First Line	:	1356 OLD GEORGETOWN RD STE 106
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-5492
Country	:	US
Telephone Number	:	843-375-6560
Fax Number	:	843-375-8354

Provider Business Practice Location Address
First Line	:	1356 OLD GEORGETOWN RD STE 106
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-5492
Country	:	US
Telephone Number	:	843-375-6560
Fax Number	:	843-375-8354

Authorized Official
Title or Position	:	OWNER
Name	:	SYDNEY SCHNEIDER
Credential	:
Telephone Number	:	843-375-6560

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/17/2026

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