Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACK LLOYD KILGORE JR. DMD
NPI 1295719201
Dentist in Columbia, SC

Q: What is Jack Kilgore's NPI number?

The NPI number for Jack Kilgore is 1295719201. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Q: What is Jack Kilgore's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Kilgore was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.

Active since December 02, 2005PECOS Enrolled

41 BEAVER DAM CT, COLUMBIA, SC 29223(803) 699-9697(803) 736-5358 Get Directions Write a Review

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

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About Dr. Jack Lloyd Kilgore Jr. Dmd NPPES

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

DR. JACK LLOYD KILGORE JR. DMD (NPI 1295719201) is an individual dentist in Columbia, South Carolina, licensed in South Carolina (2662) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295719201

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JACK LLOYD KILGORE JR.Credential: DMD

Location Address41 BEAVER DAM CTColumbia, SC 29223-3122

Mailing Address41 Beaver Dam CtColumbia, SC 29223-3122 · (803) 699-9697 · Fax (803) 736-5358

Phone(803) 699-9697

Fax(803) 736-5358

Sole ProprietorNo

Enumeration DateDecember 2, 2005

Last NPPES UpdateJuly 19, 2026

✔ NPI 1295719201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in SC · 2662

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

41 BEAVER DAM CT, Columbia, SC 29223

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Lloyd Kilgore Jr. Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jack Kilgore's NPI number?

The NPI number for Jack Kilgore is 1295719201. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Jack Kilgore located?

Jack Kilgore practices at 41 Beaver Dam Ct, Columbia, SC 29223. The listed phone number is (803) 699-9697.

What is Jack Kilgore's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jack Kilgore enrolled in Medicare?

Yes. Jack Kilgore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Kilgore was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.