DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
NPI 1164395091
Dentist - General Practice in Summerville, SC

Q: What is Dental Professional Of South Carolina, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since September 26, 2025

2680 N MAIN ST STE A, SUMMERVILLE, SC 29486(843) 376-8020(843) 376-8035 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dental Professional Of South Carolina, P.c. NPPES

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

DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. (NPI 1164395091), doing business as Dental Care At Marketplace, is a healthcare organization registered as a general practice in Summerville, South Carolina and active in the NPI registry since September 2025. The organization lists Hillary Thull, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1164395091

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.

Location Address2680 N MAIN ST STE ASummerville, SC 29486-8763

Mailing Address2680 N Main St Ste ASummerville, SC 29486-8763 · (843) 376-8020 · Fax (843) 376-8035

Phone(843) 376-8020

Fax(843) 376-8035

Organization SubpartYes

Authorized OfficialHillary ThullCredentialing Coordinator · (217) 540-8946

Enumeration DateSeptember 26, 2025

NPPES CertifiedSeptember 26, 2025

✔ NPI 1164395091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

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.

2680 N MAIN ST STE A, Summerville, SC 29486

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Other Names 1

Doing Business AsDental Care At Marketplace

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

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

DR. KELLY JEAN AMANNA DMD

Dentist (General Practice)

2680 N MAIN ST STE A
SUMMERVILLE, SC 29486

Berkeley County (843) 396-5804

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 Dental Professional Of South Carolina, P.C.'s NPI number?

The NPI number for Dental Professional Of South Carolina, P.C. is 1164395091. It was assigned to this organization in the NPPES registry on September 26, 2025. The provider is doing business as Dental Care at Marketplace.

Where is Dental Professional Of South Carolina, P.C. located?

Dental Professional Of South Carolina, P.C. is located at 2680 N Main St Ste A, Summerville, SC 29486. The listed phone number is (843) 376-8020.

What is Dental Professional Of South Carolina, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dental Professional Of South Carolina, P.C. was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.