TRIDENT DENTAL SPECIALTY PARTNERS (NPI# 1740646769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740646769 |
| Entity Type | Organization |
| Organization Name | TRIDENT DENTAL SPECIALTY PARTNERS |
| Practice Address |
6335 Dorchester Rd Charleston SC 29418-5103 |
| Practice Telephone | 8435522580 |
| Mailing Telephone | 8435522580 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |
| Authorized Official Name | DR. MARK YAMPOLSKY (PARTNER) |
| Authorized Official Telephone | 8435522580 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
2962 | SC | Dental Providers |
| Street Address |
6335 DORCHESTER RD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29418-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669747291 | Trident General Dentistry Pa | Clinic/Center | 6335 Dorchester Rd, Charleston, SC 29418-5103 | 2012-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710529235 | Safe Keeping Healthcare LLC | Home Health | 2850 Ashley Phoshate Rd Suite J, Charleston, SC 29418 | 2019-10-16 |
| 1487136180 | Aston J Rosenberg | Speech-Language Pathologist | 4362 Leslie St, North Charleston, SC 29418 | 2018-08-30 |
| 1285178996 | Aaron Brown | Counselor | 5060 Dorchester Road, Suite 200, North Charleston, SC 29418 | 2016-12-14 |
| 1003265828 | Health Edge Laser LLC | Chiropractor | 4965 Centre Pointe Dr. Suite 100, North Charleston, SC 29418 | 2016-06-13 |
| 1568866481 | Rickey Ciapha Dennis Sr. | Social Worker | 108 Knightsbridge Drive, North Charleston, SC 29418 | 2014-10-21 |
| 1780086330 | Stephanie Washington | Specialist | 5060 Drochester Rd, North Charleston, SC 29418 | 2014-09-25 |
| 1043631369 | Julian H. Campbell, Dmd PC | Dentist | 3188 W. Montague Ave, North Charleston, SC 29418 | 2014-01-05 |
| 1750660676 | Marie's Home Care | Home Health | 7610 Mcknight St., Apt.a, North Charleston, SC 29418 | 2011-08-09 |
| 1437437548 | Trident General Dentistry, Douglas S Rawls, Dm | Dentist | 6335 Dorchester Road, North Carleston, SC 29418 | 2011-07-25 |
| 1508165291 | Patrick Michael Looser | Internal Medicine | 4969 Centre Pointe Dr Ste 100, North Charleston, SC 29418 | 2011-03-21 |
| Find all providers in zip 29418 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487184727 | Hillary Nona Wright | Dentist | 1064 Gardner Rd Ste 110, Charleston, SC 29407-5711 | 2017-06-19 |
| 1134472426 | Jeffrey J Laro | Dentist | 2090 Charlie Hall Blvd, Suite 100, Charleston, SC 29414-8200 | 2012-10-24 |
| 1407117385 | Kara Grasso Veeder | Dentist | 173 Ashley Ave Ste 119, Charleston, SC 29425-8908 | 2012-06-06 |
| 1013288786 | Periodontal Associates LLC | Dentist | 33 Gamecock Ave Ste A, Charleston, SC 29407-3397 | 2012-01-26 |
| 1508089301 | Christine Marie Cole | Dentist | 520 Stone Creek Dr, Charleston, SC 29414-5051 | 2007-04-10 |
| 1457476566 | Christopher Jude Caputo | Dentist | 33a Gamecock Ave, Periodontal Associates, Pa, Charleston, SC 29407-3369 | 2007-03-20 |
| 1669530994 | Joe William Krayer | Dentist | 173 Ashley Bsb 346, Dental Faculty Prac College of Dental Medicine Musc, Charleston, SC 29425 | 2006-12-06 |
| 1629585880 | Renata Serricchio Leite | Dentist | 29 Bee Street, Charleston, SC 29425-0001 | 2018-01-09 |
| 1114332921 | Zachary P Evans | Dentist | 1064 Gardner Rd, Suite #110, Charleston, SC 29407-5768 | 2014-07-01 |
| 1609207554 | Mark F. Yampolsky, Dds, Ms Dba Carolina Periodontics | Dentist | 1064 Gardner Rd, Suite #110, Charleston, SC 29407-5768 | 2013-12-03 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29418 |
Please comment or provide details below to improve the information on TRIDENT DENTAL SPECIALTY PARTNERS.
| 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.