WACCAMAW PEDIATRIC DENTAL CARE, LLC
NPI 1225194558
Dentist - Pediatric Dentistry in Conway, SC

Q: What is Waccamaw Pediatric Dental Care, LLC's NPI number?

The NPI number for Waccamaw Pediatric Dental Care, LLC is 1225194558. It was assigned to this organization in the NPPES registry on December 29, 2006.

Q: What is Waccamaw Pediatric Dental Care, LLC's specialty?

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

Active since December 29, 2006

158 WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526(843) 347-5654(843) 347-3013 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Waccamaw Pediatric Dental Care, Llc NPPES

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

WACCAMAW PEDIATRIC DENTAL CARE, LLC (NPI 1225194558) is a healthcare organization registered as a pediatric dentistry in Conway, South Carolina and active in the NPI registry since December 2006. The organization lists Deirdre Sams Williams, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1225194558

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameWACCAMAW PEDIATRIC DENTAL CARE, LLC

Location Address158 WACCAMAW MEDICAL PARK CTConway, SC 29526-8965

Mailing Address158 Waccamaw Medical Park CtConway, SC 29526-8965 · (843) 347-5654 · Fax (843) 347-3013

Phone(843) 347-5654

Fax(843) 347-3013

Organization SubpartNo

Authorized OfficialDeirdre Sams WilliamsPediatric Dentist · (843) 347-5654

Enumeration DateDecember 29, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1225194558 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 · 3484

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.

158 WACCAMAW MEDICAL PARK CT, Conway, SC 29526

Open in Google Maps ↗

Other Identifiers 1

MedicaidZA9510SC

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 Waccamaw Pediatric Dental Care, LLC's NPI number?

The NPI number for Waccamaw Pediatric Dental Care, LLC is 1225194558. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Waccamaw Pediatric Dental Care, LLC located?

Waccamaw Pediatric Dental Care, LLC is located at 158 Waccamaw Medical Park Ct, Conway, SC 29526. The listed phone number is (843) 347-5654.

What is Waccamaw Pediatric Dental Care, LLC'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 Waccamaw Pediatric Dental Care, LLC 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.