✓ Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) (1223X0400X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

3SF, LLC (NPI #1912816927)

Dentist, Orthodontics and Dentofacial Orthopedics • GREENVILLE, SC • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1912816927
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
1223X0400X
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
5 ANGELO CT, GREENVILLE, SC, 29607-5398
✓ 9-Digit EDI 837 ZIP+4 (29607-5398)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1912816927 (3SF, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1912816927 (NPI-2 Organization / Facility)
Provider / Legal Name3SF, LLC
Plain-English SpecialtyLicensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
NUCC Code: 1223X0400X (Dentist, Orthodontics and Dentofacial Orthopedics)
Certifying / Licensing BodyAmerican Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address5 ANGELO CT, GREENVILLE, SC, 29607-5398
Practice Telephone / FaxTel: (770) 569-3844
Administrative Mailing Address5 ANGELO CT, GREENVILLE, SC, 29607-5398
Enumeration & Last SyncEnumerated: 2026-09-04 | CMS Record Updated: 2026-09-11
Authorized OfficialALISE SENDERAK (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5 ANGELO CT, GREENVILLE, SC, 29607-5398

🗺️ Open in Google Maps 🏥 More Providers in GREENVILLE

Plain-English Taxonomy & CMS Crosswalk (1223X0400X)

What Does Taxonomy Code 1223X0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223X0400X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (3SF, LLC)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
  • Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions
Common Therapeutic Classes:
  • Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
  • Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
1223X0400X — Dentist, Orthodontics and Dentofacial Orthopedics
Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
State: N/A | License: Verified | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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