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LUGOFF FAMILY DENTISTRY, LLC
NPI 1295321198
Clinic/Center - Dental in Lugoff, SC

Active since December 15, 2020

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About LUGOFF FAMILY DENTISTRY, LLC

This page provides the complete NPI Profile along with additional information for Lugoff Family Dentistry, Llc, a provider established in Lugoff, South Carolina operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1295321198 assigned on December 2020. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is John F Rickard (Comptroller)

NPI
1295321198 Verify this NPI
Provider Name
LUGOFF FAMILY DENTISTRY, LLC
Entity Type
Organization
Location Address
1 PLAZA DR LUGOFF, SC 29078
Location Phone
(803) 438-3540
Mailing Address
1 PLAZA DR LUGOFF, SC 29078
Mailing Phone
(803) 438-3540
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-15-2020
Last Update Date
12-16-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN F RICKARD

Authorized Official Title
COMPTROLLER
Authorized Official Phone
(843) 270-9534

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

HARRY J KOUTROULAKIS D.M.D.
Dentist
1 PLAZA DR
LUGOFF, SC 29078
Kershaw County (803) 438-3540
HARRY J. KOUTROULAKIS D.M.D. FAMILY DENTISTRY, P.A.
Dentist
1 PLAZA DR
LUGOFF, SC 29078
Kershaw County (803) 438-3540
QUALITY SLEEP SOLUTIONS LUGOFF LLC
Durable Medical Equipment & Medical Supplies
1 PLAZA DR
LUGOFF, SC 29078
Kershaw County (803) 438-3540

Frequently Asked Questions

What is LUGOFF FAMILY DENTISTRY, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1295321198, enumerated as an "organization" on December 15, 2020.

Where is the provider located?

The provider is located at 1 PLAZA DR LUGOFF, SC 29078 and the phone number is (803) 438-3540.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.