Healthcare Provider Details

I. General information

NPI: 1548194111
Provider Name (Legal Business Name): MOUNT PLEASANT ORTHODONTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1356 OLD GEORGETOWN RD STE 106
MOUNT PLEASANT SC
29464-5492
US

IV. Provider business mailing address

1356 OLD GEORGETOWN RD STE 106
MOUNT PLEASANT SC
29464-5492
US

V. Phone/Fax

Practice location:
  • Phone: 843-375-6560
  • Fax: 843-375-8354
Mailing address:
  • Phone: 843-375-6560
  • Fax: 843-375-8354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: SYDNEY SCHNEIDER
Title or Position: OWNER
Credential:
Phone: 843-375-6560