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SUMMERVILLE PEDIATRIC DENTISTRY
NPI 1275764672
Dentist - Pediatric Dentistry in Summerville, SC

Active since August 03, 2009
405 W 5TH NORTH ST STE A, SUMMERVILLE, SC 29483(843) 871-6433 Get Directions Write a Review

NPPES record last updated: August 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summerville Pediatric Dentistry NPPES

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

SUMMERVILLE PEDIATRIC DENTISTRY (NPI 1275764672) is a healthcare organization registered as a pediatric dentistry in Summerville, South Carolina and active in the NPI registry since August 2009. The organization lists Dorothy M Baker, Owner, as its authorized official.

NPPES Registry Identity

NPI1275764672
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSUMMERVILLE PEDIATRIC DENTISTRY
Location Address405 W 5TH NORTH ST STE ASummerville, SC 29483-6515
Mailing Address405 W 5th North St Ste ASummerville, SC 29483-6515 · (843) 871-6433
Phone(843) 871-6433
Organization SubpartNo
Authorized OfficialDorothy M BakerOwner · (873) 871-6433
Enumeration DateAugust 3, 2009
✔ NPI 1275764672 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 · 3903
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.
405 W 5TH NORTH ST STE A, Summerville, SC 29483
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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. KATHRYN STROUD BULLWINKEL DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
405 W 5TH NORTH ST STE A
SUMMERVILLE, SC 29483
Berkeley County (843) 821-6433

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 Summerville Pediatric Dentistry's NPI number?

The NPI number for Summerville Pediatric Dentistry is 1275764672. It was assigned to this organization in the NPPES registry on August 3, 2009.

Where is Summerville Pediatric Dentistry located?

Summerville Pediatric Dentistry is located at 405 W 5th North St Ste A, Summerville, SC 29483. The listed phone number is (843) 871-6433.

What is Summerville Pediatric Dentistry's specialty?

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

What insurance does Summerville Pediatric Dentistry accept?

Health plans from UnitedHealthcare list Summerville Pediatric Dentistry 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 Summerville Pediatric Dentistry was last updated on August 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.