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CHARLESTON PEDIATRIC DENTISTRY, P.A.
NPI 1033238589
Dentist - Pediatric Dentistry in North Charleston, SC

Active since March 28, 2007
9217 UNIVERSITY BLVD STE 1C, NORTH CHARLESTON, SC 29406(843) 797-5133(843) 797-5865 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charleston Pediatric Dentistry, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLESTON PEDIATRIC DENTISTRY, P.A. (NPI 1033238589) is a healthcare organization registered as a pediatric dentistry in North Charleston, South Carolina and active in the NPI registry since March 2007. The organization lists Lisa Bodiford, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1033238589
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHARLESTON PEDIATRIC DENTISTRY, P.A.
Location Address9217 UNIVERSITY BLVD STE 1CNorth Charleston, SC 29406-9147
Mailing Address9217 University Blvd Ste 1cNorth Charleston, SC 29406-9147 · (843) 797-5133 · Fax (843) 797-5865
Phone(843) 797-5133
Fax(843) 797-5865
Organization SubpartNo
Authorized OfficialLisa BodifordOffice Manager · (843) 797-5133
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1033238589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in SC · 2638-0358 SC
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
9217 UNIVERSITY BLVD STE 1C, North Charleston, SC 29406
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENTISTRY FOR CHILDREN OF S. CAROLINA PC
Dentist (Pediatric Dentistry)
9217 UNIVERSITY BLVD STE 1C
NORTH CHARLESTON, SC 29406
Charleston County (843) 797-5133
SHERYL E. GOLTRA DMD
Dentist (Pediatric Dentistry)
9217 UNIVERSITY BLVD STE 1C
NORTH CHARLESTON, SC 29406
Charleston County (843) 797-5133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charleston Pediatric Dentistry, P.A.'s NPI number?

The NPI number for Charleston Pediatric Dentistry, P.A. is 1033238589. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Charleston Pediatric Dentistry, P.A. located?

Charleston Pediatric Dentistry, P.A. is located at 9217 University Blvd Ste 1C, North Charleston, SC 29406. The listed phone number is (843) 797-5133.

What is Charleston Pediatric Dentistry, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Charleston Pediatric Dentistry, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.