DENTAL PROFESSIONALS OF SOUTH CAROLINA, PC (NPI# 1609241033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609241033 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF SOUTH CAROLINA, PC |
| Other Organization Name | NORTH CHARLESTON FAMILY DENTAL |
| Practice Address |
9510 Dorchester Rd Suite 400 North Charleston SC 29485 |
| Practice Telephone | 8434925793 |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING TEAM LEAD) |
| Authorized Official Telephone | 2175408312 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF SOUTH CAROLINA, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| North Charleston Family Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1487013108 | Dental Professionals of South Carolina, PC | Dentist | 340 Harrison Bridge Rd, Suite D, Simpsonville, SC 29680-7133 | 2016-02-23 |
| 1871964015 | Dental Professionals of South Carolina, PC | Dentist | 1028 Edgewater Corp. Pkwy, Suite 101, Indian Land, SC 29707 | 2015-10-14 |
| 1053706747 | Dental Professionals of South Carolina, PC | Dentist | 100 Debo Dr Unit 110, Myrtle Beach, SC 29579-4921 | 2015-03-31 |
| 1972894251 | Dental Professionals of South Carolina, PC | Dentist | 2445 E Main St, Spartanburg, SC 29307-1415 | 2011-04-21 |
| Street Address |
9510 DORCHESTER RD SUITE 400 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1124434329 | James C. Andrews Dmd Pa | Clinic/Center | 1720 Trolley Road, Summerville, SC 29485 | 2014-07-08 |
| Find all providers in zip 29485 | ||||
| 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 |
|---|---|---|---|---|
| 1447778477 | Linda Brantlee Tinsley | Dentist | 5621 Rivers Ave, North Charleston, SC 29406-6022 | 2017-08-30 |
| 1760835508 | Alexa Richtmyer Williamson | Dentist | 6035 Rivers Ave, North Charleston, SC 29406-5018 | 2016-07-17 |
| 1265884647 | Kristy Greenfield | Dentist | 7455 Cross County Rd Ste 4, North Charleston, SC 29418-8470 | 2016-07-08 |
| 1144685330 | Gamble Dentalsmart PC | Dentist | 4921 Centre Pointe Dr, Suite 201, North Charleston, SC 29418-6996 | 2015-12-15 |
| 1720490063 | Shawn Michael Mitchell | Dentist | 4950 Centre Pointe Dr Ste 114, North Charleston, SC 29418-6929 | 2014-05-21 |
| 1043631369 | Julian H. Campbell, Dmd PC | Dentist | 3188 W. Montague Ave, North Charleston, SC 29418 | 2014-01-05 |
| 1952681702 | Ashlee Rose Franklin | Dentist | 4400 Dorchester Rd, North Charleston, SC 29405-6849 | 2011-08-25 |
| 1003043597 | Christopher Poston Rivers | Dentist | 8310 Rivers Ave Ste D, North Charleston, SC 29406-9268 | 2009-06-11 |
| 1902955628 | Ralph E Rivers | Dentist | 8310 Rivers Ave, Suite D, North Charleston, SC 29406-9268 | 2007-01-10 |
| 1356424170 | Matthew R Rismani | Dentist | 3210 Landmark Dr, Suite D, North Charleston, SC 29418-8486 | 2006-10-23 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29485 |
Please comment or provide details below to improve the information on DENTAL PROFESSIONALS OF SOUTH CAROLINA, PC.
| 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.