IMMEDIATE DENTAL GROUP LLC
NPI 1154665776
Dentist in North Charleston, SC

Active since November 20, 2012
5900 RIVERS AVE, UNIT X, NORTH CHARLESTON, SC 29406(843) 480-5900(843) 480-9502 Get Directions Write a Review

NPPES record last updated: January 22, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist

About IMMEDIATE DENTAL GROUP LLC

This page provides the complete NPI Profile along with additional information for Immediate Dental Group Llc, a provider established in North Charleston, South Carolina operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1154665776 assigned on November 2012. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Immediate Dental Group Llc. The authorized official of this NPI record is Mr. Zachary Todd Daugherty (Business Manager)

NPI
1154665776 Verify this NPI
Provider Legal Name
IMMEDIATE DENTAL GROUP LLC - NORTH CHARLESTON
Other Organization Name
IMMEDIATE DENTAL GROUP LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5900 RIVERS AVE UNIT X NORTH CHARLESTON, SC 29406
Location Phone
(843) 480-5900
Location Fax
(843) 480-9502
Mailing Address
5900 RIVERS AVE UNIT X NORTH CHARLESTON, SC 29406
Mailing Phone
(843) 480-5900
Mailing Fax
(843) 480-9502
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-20-2012
Last Update Date
01-22-2013
Code Navigator

A dentist like Immediate Dental Group Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ZACHARY TODD DAUGHERTY

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(843) 480-9500

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
5900 RIVERS AVE, STE E
NORTH CHARLESTON, SC 29406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154665776, enumerated as an "organization" on November 20, 2012.

The provider is located at 5900 RIVERS AVE UNIT X NORTH CHARLESTON, SC 29406 and the phone number is (843) 480-5900.

Dentist with taxonomy code 122300000X.