DENTAL PROFESSIONALS OF SOUTH CAROLINA (NPI# 1467977462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467977462 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF SOUTH CAROLINA |
| Other Organization Name | PALMETTO COAST DENTAL |
| Practice Address |
11421 Ocean Hwy Ste E Pawleys Island SC 29585-5409 |
| Practice Telephone | (217) 540-5100 |
| Mailing Telephone | 2175405100 |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175408426 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS 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 |
|---|---|
| Palmetto Coast Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215362975 | Dental Professionals of South Carolina | Dentist | 214 W Home Ave, Hartsville, SC 29550-4126 | 2013-09-12 |
| 1477806206 | Dental Professionals of South Carolina | Dentist | 1004 Sea Mountain Hwy, North Myrtle Beach, SC 29582-2211 | 2012-10-17 |
| Street Address |
11421 OCEAN HWY STE E |
| City | PAWLEYS ISLAND |
| State | SC |
| Zip Code | 29585-5409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790303923 | Susan Kraus | Counselor | 1032 Algonquin Dr., 963-h, Pawleys Island, SC 29585 | 2020-07-14 |
| 1831737436 | Mary Ruth Blair | Counselor | 10689 Ocean Highway, Pawleys Island, SC 29585 | 2019-12-13 |
| 1518437110 | David Patrick Hanley | Home Health | 10698 Ocean Highway, Suite 100, Pawleys Island, SC 29585 | 2018-11-27 |
| 1154860369 | Danielle Olivia Woodley | Nurse Practitioner | 201 Business Center Dr., Pawleys Island, SC 29585 | 2017-02-21 |
| 1992241145 | Nichole Marie Evans | Nurse Practitioner | 10317 Ocean Highway 17 South, Pawleys Island, SC 29585 | 2017-01-11 |
| 1922559152 | Camri K Monaghan | Occupational Therapist | 120 Lakes of Litchfield Dr., Pawleys Island, SC 29585 | 2016-10-24 |
| 1245785666 | Hannah Rebecca Willis Rustin | Dentist | 34 Business Center Dr, Pawleys Island, SC 29585 | 2016-08-16 |
| 1750700894 | Veronica Seitzinger | Social Worker | 49 Pond View Dr, Pawleys Island, SC 29585 | 2014-04-15 |
| 1578813341 | Anne Marie Floyd | Physical Therapist | 120 Lakes At Litchfield Drive, Pawley's Island, SC 29585 | 2012-09-19 |
| 1356612170 | Jean C. Cross | Social Worker | Alston Rd, Pawleys Island, SC 29585 | 2012-01-25 |
| Find all providers in zip 29585 | ||||
| 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 |
|---|---|---|---|---|
| 1013462522 | Rinehart Dentistry of Pawleys | Dentist | 10185 Ocean Hwy, Unite B, Pawleys Island, SC 29585-7402 | 2016-08-25 |
| 1134332943 | David Edwin Grabeman | Dentist | 71 Dagullah Way Ste C, Pawleys Island, SC 29585-8251 | 2007-05-08 |
| 1275682361 | Total Care Dentistry Inc | Dentist | 14559 Ocean Hwy, Pawleys Island, SC 29585-4823 | 2007-01-09 |
| 1295897916 | Charles Frederick Wright | Dentist | 39 Providence Dr, Pawleys Island, SC 29585-6078 | 2006-12-16 |
| 1922015569 | Peter G Divenere | Dentist | 58 Alston Rd, Pawleys Island, SC 29585-0185 | 2006-08-02 |
| 1295788826 | John W Davis | Dentist | 10030 Ocean Hwy, Pawleys Island, SC 29585 | 2006-05-17 |
| 1770056079 | Cr Smiles-pawleys Island Dental Care | Dentist | 38 Blackgum Rd Unit G, Pawleys Island, SC 29585 | 2019-01-09 |
| 1588174601 | Nicholas A. Papadea Dmd Pa | Dentist | 8457 Ocean Hwy, Pawleys Island, SC 29585-7959 | 2017-10-03 |
| 1639331192 | South Carolina Dental Screening Associates LLP | Dentist | 64 Egret Run Ln, Suite B-1, Pawleys Island, SC 29585-7821 | 2008-06-26 |
| 1366592438 | Edward Benton Dubose | Dentist | 8457 Ocean Hwy, Pawleys Island, SC 29585-7959 | 2007-01-11 |
| Find all providers in PAWLEYS ISLAND | ||||
| City | PAWLEYS ISLAND |
| Zip Code | 29585 |
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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.