DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. (NPI# 1700375508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700375508 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. |
| Other Organization Name | HAMPTON LAKE DENTAL CARE |
| Practice Address |
370 Buckwalter Pkwy Bluffton SC 29910-5151 |
| Practice Telephone | 8432534163 |
| Mailing Telephone | 8432534163 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175408426 |
| 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 |
|---|---|
| Hampton Lake Dental Care | 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 |
| 1578034369 | Dental Professional of South Carolina, P.C. | Dentist | 2373 Len Patterson Rd Ste 103, Fort Mill, SC 29708-8266 | 2018-12-06 |
| 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 |
| 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 |
370 BUCKWALTER PKWY |
| City | BLUFFTON |
| State | SC |
| Zip Code | 29910-5151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912444 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2501 May River Crossing, Bluffton, SC 29910 | 2020-11-03 |
| 1447873815 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 4812 Bluffton Parkway, Bluffton, SC 29910 | 2020-05-20 |
| 1831682327 | Tattnall Hospital Company LLC | Occupational Therapist | 8201 Pinellas Dr, Bluffton, SC 29910 | 2018-06-11 |
| 1437647070 | Health Performance Systems LLC | Massage Therapist | 20 Towne Dr Ste 102, Bluffton, SC 29910 | 2018-04-30 |
| 1659880540 | Jessica Partain | Assistant Behavior Analyst | 254 Red Cedar St Ste 11, Bluffton, SC 29910 | 2017-09-24 |
| 1760901177 | Thomas Ross Miller | Specialist/Technologist | 7 Independence Place, Bluffton, SC 29910 | 2017-09-18 |
| 1982124400 | Caitlin Diane Harvey | Behavioral Analyst | 4 Oliver Ct Ste 105, Bluffton, SC 29910 | 2017-06-26 |
| 1770011041 | Michael Ross Reeves | Physical Therapist | 38 Sheridan Park Cir Ste C, Bluffton, SC 29910 | 2017-05-31 |
| 1982141750 | Jebediah S. Christy, D.d.s. - Blufton, Pllc | Dentist | 1135 Fording Island Rd, Bluffton, SC 29910 | 2017-01-31 |
| 1225589377 | Kathryn Hope | Occupational Therapist | 31 Innovation Dr Ste 100, Bluffton, SC 29910 | 2016-10-24 |
| Find all providers in zip 29910 | ||||
| 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 |
|---|---|---|---|---|
| 1982141750 | Jebediah S. Christy, D.d.s. - Blufton, Pllc | Dentist | 1135 Fording Island Rd, Bluffton, SC 29910 | 2017-01-31 |
| 1275998544 | Gamble Dentalsmart PC | Dentist | 19 Towne Dr, Bluffton, SC 29910-4201 | 2015-12-30 |
| 1053663211 | Dynamic Dentistry LLC | Dentist | 12-b Arley Way, Suite 104, Bluffton, SC 29910 | 2012-10-11 |
| 1699022624 | Louis Edward Costa IIi | Dentist | 168 Bluffton Rd, Bluffton, SC 29910-6248 | 2012-08-09 |
| 1891069944 | Jeffrey C Bauer Dmd, PC | Dentist | 19 Promenade St, Unit 201, Bluffton, SC 29910-7037 | 2012-03-06 |
| 1144480179 | Bluffton Dental Clinic | Dentist | 1417 Baker Pl, Bluffton, IN 46714-1180 | 2008-06-12 |
| 1669681276 | Richard Edward Fetterman | Dentist | 14 Oak Forest Rd Ste F, Bluffton, SC 29910-4988 | 2007-05-21 |
| 1669695045 | John R Hendricks Jr. | Dentist | 70 Pennington Dr Ste 7, Bluffton, SC 29910-6056 | 2007-04-11 |
| 1285857045 | David Allen Willits | Dentist | 317 W Market St, Bluffton, IN 46714-1936 | 2007-04-10 |
| 1215067707 | Patricia Lynn Warner | Dentist | 167 D Bluffton Rd, Bluffton, SC 29910 | 2007-03-06 |
| Find all providers in BLUFFTON | ||||
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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.