CHARLESTON YOUTH DENTISTRY, LLC
NPI 1215995501
Dentist - General Practice in North Charleston, SC

Q: What is Charleston Youth Dentistry, LLC's NPI number?

The NPI number for Charleston Youth Dentistry, LLC is 1215995501. It was assigned to this organization in the NPPES registry on May 3, 2006.

Q: What is Charleston Youth Dentistry, LLC's specialty?

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

Active since May 03, 2006

6035A RIVERS AVE, NORTH CHARLESTON, SC 29406(843) 572-9909(843) 572-9901 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Charleston Youth Dentistry, Llc NPPES

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

CHARLESTON YOUTH DENTISTRY, LLC (NPI 1215995501) is a healthcare organization registered as a general practice in North Charleston, South Carolina and active in the NPI registry since May 2006. The organization lists Jenell Stump, Manager, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1215995501

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameCHARLESTON YOUTH DENTISTRY, LLC

Location Address6035A RIVERS AVENorth Charleston, SC 29406-4924

Mailing Address16 Arcade Unit 198747Nashville, TN 37219-1994 · (615) 750-0343 · Fax (615) 986-1705

Phone(843) 572-9909

Fax(843) 572-9901

Organization SubpartNo

Authorized OfficialJenell StumpManager, Licensing & Credentialing · (615) 750-0343

Enumeration DateMay 3, 2006

Last NPPES UpdateJuly 9, 2014

✔ NPI 1215995501 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.

6035A RIVERS AVE, North Charleston, SC 29406

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Other Identifiers 1

MedicaidZA9597SC

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

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 Youth Dentistry, LLC's NPI number?

The NPI number for Charleston Youth Dentistry, LLC is 1215995501. It was assigned to this organization in the NPPES registry on May 3, 2006.

Where is Charleston Youth Dentistry, LLC located?

Charleston Youth Dentistry, LLC is located at 6035A Rivers Ave, North Charleston, SC 29406. The listed phone number is (843) 572-9909.

What is Charleston Youth Dentistry, LLC'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 Charleston Youth Dentistry, LLC was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.