TRIDENT DENTAL ASSOCIATES, LLC
NPI 1053083154
Dentist - Oral and Maxillofacial Surgery in Charleston, SC

Q: What is Trident Dental Associates, LLC's NPI number?

The NPI number for Trident Dental Associates, LLC is 1053083154. It was assigned to this organization in the NPPES registry on September 28, 2021.

Q: What is Trident Dental Associates, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since September 28, 2021

9228 MEDICAL PLAZA DR, CHARLESTON, SC 29406(843) 574-5693(843) 764-4512 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2023, Sep 29, 2021 (2 updates tracked since 2021).

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About Trident Dental Associates, Llc NPPES

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

TRIDENT DENTAL ASSOCIATES, LLC (NPI 1053083154) is a healthcare organization registered as an oral and maxillofacial surgery in Charleston, South Carolina and active in the NPI registry since September 2021. The organization lists William Tederick Johnson, Group Vice President/ao, as its authorized official.

NPPES Registry Identity

NPI1053083154

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameTRIDENT DENTAL ASSOCIATES, LLC

Location Address9228 MEDICAL PLAZA DRCharleston, SC 29406-9125

Mailing Address2000 Health Park DrBrentwood, TN 37027-4692 · (615) 373-7406 · Fax (866) 346-1426

Phone(843) 574-5693

Fax(843) 764-4512

Organization SubpartNo

Authorized OfficialWilliam Tederick JohnsonGroup Vice President/ao · (615) 372-3375

Enumeration DateSeptember 28, 2021

Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration

NPPES CertifiedAugust 29, 2023

✔ NPI 1053083154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

9228 MEDICAL PLAZA DR, Charleston, SC 29406

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Other Providers at the Same Location NPPES 20

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

CHRISTOPHER JASON NGUYEN MD

Radiology (Diagnostic Radiology)