DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. (NPI# 1578034369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578034369 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. |
| Other Organization Name | DENTAL CARE AT MILLS CROSSING |
| Practice Address |
2373 Len Patterson Rd Ste 103 Fort Mill SC 29708-8266 |
| Practice Telephone | 8033106109 |
| Mailing Telephone | 8037520655 |
| Mailing Fax Number | 8033960029 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2019-03-29 |
| 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 |
|---|---|
| Dental Care at Mills Crossing | 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 |
| 1023627619 | Dental Professional of South Carolina, P.C. | Dentist | 702 Hopewell Dr, Charleston, SC 29492-7102 | 2020-07-29 |
| 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 |
| 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 |
2373 LEN PATTERSON RD STE 103 |
| City | FORT MILL |
| State | SC |
| Zip Code | 29708-8266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089098 | Jennifer Priory O'keefe | Nurse Practitioner | 117 Stone Village Dr., Fort Mill, SC 29708 | 2019-08-26 |
| 1144790577 | Mary Kathleen Gerber | Speech-Language Pathologist | 1874 Second Baxter Crossing, Fort Mill, SC 29708 | 2018-11-28 |
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| 1861985384 | Hf Care Services LLC | Counselor | 150 B.w. Thomas Dr., 108, Fort Mills, SC 29708 | 2018-06-09 |
| 1134619802 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1826 Highway 160 W Ste 101, Fort Mill, SC 29708 | 2018-05-17 |
| 1255832549 | Lakeshore Dental Inc. | Dentist | 1200 Gold Hill Road, Fort Mill, SC 29708 | 2018-02-22 |
| 1407362338 | Smith Physical Therapy and Wellness | Physical Therapist | 2435 Highway 160 West, Suite 108, Tega Cay, SC 29708 | 2017-12-14 |
| 1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
| 1942729355 | Alexis Rose Muttillo | Specialist/Technologist | 1054 Cameron Creek Pkwy, Tega Cay, SC 29708 | 2017-09-18 |
| 1407308208 | Brenda Terry | Acupuncturist | 1171 Market Street, Ste # 112, Fort Mill, SC 29708 | 2016-10-27 |
| Find all providers in zip 29708 | ||||
| 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 |
|---|---|---|---|---|
| 1821576240 | Ben Hb Castelsky | Dentist | 1751 Pleasant Rd Ste 101, Fort Mill, SC 29708-7862 | 2018-07-30 |
| 1801382973 | Chelsea Jasper Anderson | Dentist | 2752 Pleasant Rd Ste 106, Fort Mill, SC 29708-7229 | 2018-07-02 |
| 1255832549 | Lakeshore Dental Inc. | Dentist | 1200 Gold Hill Road, Fort Mill, SC 29708 | 2018-02-22 |
| 1861851883 | Gamble Dentalsmart PC | Dentist | 749 Stockbridge Dr, Fort Mill, SC 29708-7200 | 2016-02-18 |
| 1093196784 | Brittany Rush Brown | Dentist | 1701 1st Baxter Xing Ste 102, Fort Mill, SC 29708-8978 | 2015-06-18 |
| 1497172076 | Dental Professionals of Sc, PC | Dentist | 1751 Pleasant Road Suite101, Fort Mill, SC 29708 | 2014-03-21 |
| 1760794945 | Rajini Konda | Dentist | 8433 Charlotte Hwy, Fort Mill, SC 29707-2970 | 2010-07-05 |
| 1215164249 | Maylyn Price Welch | Dentist | 1500 Fort Mill Pkwy Ste 108, Fort Mill, SC 29715-2539 | 2009-06-17 |
| 1649451410 | Carolina Professional Dentistry,llc | Dentist | 200 Dobys Bridge Rd, Suite 108, Fort Mill, SC 29715-2083 | 2007-11-20 |
| 1316146715 | Gary Carlton Kimsey | Dentist | 1730 Saddlewood Dr, Suite 2010, Fort Mill, SC 29715-9092 | 2007-07-16 |
| Find all providers in FORT MILL | ||||
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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.