DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. (NPI# 1023627619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023627619 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. |
| Practice Address |
702 Hopewell Dr Charleston SC 29492-7102 |
| Practice Telephone | 8434104792 |
| Mailing Telephone | 8434104792 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Point Hope Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
| 1619517463 | Dental Professional of South Carolina, P.C. | Dentist | 1135 Muhlenbergia Dr, Mt Pleasant, SC 29466-7586 | 2020-01-09 |
| 1104467224 | Dental Professional of South Carolina, P.C. | Dentist | 2749 Agnes Ln, Myrtle Beach, SC 29577-2029 | 2019-09-30 |
| 1578034369 | Dental Professional of South Carolina, P.C. | Dentist | 2373 Len Patterson Rd Ste 103, Fort Mill, SC 29708-8266 | 2018-12-06 |
| 1972073831 | Dental Professional of South Carolina, P.C. | Dentist | 2800 Woodruff Rd, Simpsonville, SC 29681-4806 | 2018-12-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1326532268 | Dental Professional of South Carolina, P.C. | Dentist | 7748 Charlotte Hwy, Indian Land, SC 29707-9654 | 2018-06-14 |
| 1700375508 | Dental Professional of South Carolina, P.C. | Dentist | 370 Buckwalter Pkwy, Bluffton, SC 29910-5151 | 2018-05-07 |
| 1811406895 | Dental Professional of South Carolina, P.C. | Dentist | 789 Hammett Bridge Rd, Greer, SC 29650-2509 | 2017-09-22 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| Street Address |
702 HOPEWELL DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29492-7102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144877333 | Megan Potter | Speech-Language Pathologist | Wellmore Daniel Island, 580 Robert Daniel Drive, Charleston, SC 29492 | 2019-08-22 |
| 1013408301 | River Landing Dentistry LLC | Clinic/Center | 145 River Landing Drive, Suite 102, Daniel Island, SC 29492 | 2018-05-23 |
| 1972018026 | Wellmore of Daniel Island LLC | Skilled Nursing Facility | 580 Robert Daniel Drive, Charleston, SC 29492 | 2017-12-12 |
| 1245758283 | Lindsey Alyse Vanbeusecum | Speech-Language Pathologist | 211 River Landing Dr, Daniel Island, SC 29492 | 2017-08-30 |
| 1508302423 | Sleep Better Sc, LLC | Clinic/Center | 210 Seven Farms Drive # 103, Daniel Island, SC 29492 | 2017-01-17 |
| 1164899696 | Employer's Collective | Pharmacy | 100 Calhoun Street, Suite 210, Charleston, SC 29492 | 2015-09-01 |
| 1376933440 | Rachel F. Henry | Counselor | 260 Seven Farms Dr Ste C, Daniel Island, SC 29492 | 2015-01-28 |
| 1417352253 | Kristen Helmly | Speech-Language Pathologist | 135 Pier View Street, Unit 304, Charleston, SC 29492 | 2014-10-22 |
| 1215268578 | Newton Gaston Quantz Jr. | Otolaryngology | 401 Ralston Creek Street, Charleston, SC 29492 | 2010-01-26 |
| 1053541581 | Chet Allen Tharpe Jr. | Allergy & Immunology | 6051 Grand Council St, Daniel Island, SC 29492 | 2009-07-17 |
| Find all providers in zip 29492 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265039754 | Ravi Bhupen Patel | Dentist | 1755 Central Park Rd, Unit 1107, Charleston, SC 29412-2846 | 2020-10-07 |
| 1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
| 1427673946 | Leslie Jordan Mcgarity | Dentist | 29 Bee Street Dc 271 Msc 507, Charleston, SC 29425-0001 | 2020-06-10 |
| 1629691449 | Tgd-west Ashley LLC | Dentist | 2048 Sam Rittenberg Blvd Ste 2, Charleston, SC 29407-4673 | 2020-05-27 |
| 1922650647 | Kinnara Vasamsetti Emmons | Dentist | 46 Queen St Apt B, Charleston, SC 29401-2805 | 2019-07-12 |
| 1932769189 | John Fitzgerald | Dentist | 26 Bee Street Msc 507 Dental Clinic Room 550, Charleston, SC 29425-0001 | 2019-06-19 |
| 1144880808 | Miranda Jo Ferrari | Dentist | 3 Creekstone Rdg, Charleston, WV 25309-8986 | 2019-06-15 |
| 1114586054 | Charleston Dental Associates, LLC | Dentist | 915 Saint Andrews Blvd, Charleston, SC 29407-7138 | 2019-06-12 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1891227096 | Jennifer Leigh Boyland | Dentist | 6 Doughty St, Apt. A, Charleston, SC 29403-5858 | 2017-03-28 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29492 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.