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LADYS ISLAND DENAL CLINIC
NPI 1386761955
Dentist in Beaufort, SC

Active since March 26, 2007
5 PROFESSIONAL VILLAGE CIR, BEAUFORT, SC 29907(843) 521-0808(843) 521-0945 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ladys Island Denal Clinic NPPES

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

LADYS ISLAND DENAL CLINIC (NPI 1386761955) is a healthcare organization registered as a dentist in Beaufort, South Carolina and active in the NPI registry since March 2007. The organization lists Tristan H Greenwalt, Dentist, as its authorized official.

NPPES Registry Identity

NPI1386761955
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLADYS ISLAND DENAL CLINIC
Location Address5 PROFESSIONAL VILLAGE CIRBeaufort, SC 29907-1571
Mailing Address5 Professional Village CirBeaufort, SC 29907-1571 · (843) 521-0808 · Fax (843) 521-0945
Phone(843) 521-0808
Fax(843) 521-0945
Organization SubpartNo
Authorized OfficialTristan H GreenwaltDentist · (843) 521-0808
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386761955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 3760
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.
5 PROFESSIONAL VILLAGE CIR, Beaufort, SC 29907
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Other Identifiers 5

Other970484SC · United Concordia
MedicaidZX3760SC
MedicaidZX3797SC
Other923437SC · United Concordia
MedicaidZA9682SC

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANGELA L LITCHFIELD DMD
Dentist (General Practice)
5 PROFESSIONAL VILLAGE CIR
BEAUFORT, SC 29907
Beaufort County (843) 521-0808
DR. TRISTAN GREENWALT DMD
Dentist (General Practice)
5 PROFESSIONAL VILLAGE CIR
BEAUFORT, SC 29907
Beaufort County (843) 521-0808

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 Ladys Island Denal Clinic's NPI number?

The NPI number for Ladys Island Denal Clinic is 1386761955. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Ladys Island Denal Clinic located?

Ladys Island Denal Clinic is located at 5 Professional Village Cir, Beaufort, SC 29907. The listed phone number is (843) 521-0808.

What is Ladys Island Denal Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Ladys Island Denal Clinic was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.