DENTAL PROFESSIONALS OF SOUTH CAROLINA PC NPI 1295195188

NPI Information

  • NPI: 1295195188
  • Provider Name: DENTAL PROFESSIONALS OF SOUTH CAROLINA, PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: SMILES AT GOOSE CREEK
  • Address: 615 ST. JAMES AVE
    GOOSE CREEK, SC
    ZIP 29445
  • Phone: (843) 804-6927

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NPI Details

DENTAL PROFESSIONALS OF SOUTH CAROLINA, PC is a general practice dentist in Goose Creek, SC. The provider is 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. DENTAL PROFESSIONALS OF SOUTH CAROLINA, PC NPI is 1295195188. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Smiles At Goose Creek.

The provider's business location address is:

615 ST. JAMES AVE
GOOSE CREEK, SC
ZIP 29445
Phone: (843) 804-6927

The provider's authorized official is Kendra Walker .
The authorized official title is Credentialing Team Lead and has the following contact phone number (217) 540-8312.

The enumeration date for this NPI number is 3/4/2016 and was last updated on 3/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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