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DR. AMANDA NICOLE PETRIN DMD
NPI 1235865221
Dentist - General Practice in Moncks Corner, SC

Active since August 01, 2022
2830 HWY 52, STE 360, MONCKS CORNER, SC 29461(439) 904-7158 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 1, 2023, Aug 16, 2022, Aug 1, 2022 (3 updates tracked since 2022).

About Dr. Amanda Nicole Petrin Dmd NPPES

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

DR. AMANDA NICOLE PETRIN DMD (NPI 1235865221) is an individual general practice provider in Moncks Corner, South Carolina, licensed in South Carolina (DGD.10656) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1235865221
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. AMANDA NICOLE PETRINCredential: DMD
Location Address2830 HWY 52, STE 360Moncks Corner, SC 29461
Mailing Address504 Sound DrSummerville, SC 29486-2932 · (570) 862-3684
Phone(439) 904-7158
Sole ProprietorNo
Enumeration DateAugust 1, 2022
Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1235865221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in SC · DGD.10656✔ Licensed in CT · 13534
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.
2830 HWY 52, Moncks Corner, SC 29461
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and more.Insurance ›

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 Amanda Petrin's NPI number?

The NPI number for Amanda Petrin is 1235865221. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Where is Amanda Petrin located?

Amanda Petrin practices at 2830 Hwy 52 Ste 360, Moncks Corner, SC 29461. The listed phone number is (439) 904-7158.

What is Amanda Petrin's specialty?

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

What insurance does Amanda Petrin accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 12 other insurers list Amanda Petrin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Petrin was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.