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SOUTH SHORE DENTAL LLC
NPI 1396671301
Dentist - General Practice in Lexington, SC

Active since June 18, 2026
110 CHARTER OAK RD, LEXINGTON, SC 29072(803) 359-6143(803) 359-6140 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Shore Dental Llc NPPES

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

SOUTH SHORE DENTAL LLC (NPI 1396671301) is a healthcare organization registered as a general practice in Lexington, South Carolina and active in the NPI registry since June 2026. The organization lists Jon David Smith, Co/owner, as its authorized official.

NPPES Registry Identity

NPI1396671301
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTH SHORE DENTAL LLC
Location Address110 CHARTER OAK RDLexington, SC 29072-9710
Mailing Address110 Charter Oak RdLexington, SC 29072-9710 · (803) 359-6143 · Fax (803) 359-6140
Phone(803) 359-6143
Fax(803) 359-6140
Organization SubpartNo
Authorized OfficialJon David SmithCo/owner · (803) 606-5134
Enumeration DateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1396671301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
110 CHARTER OAK RD, Lexington, SC 29072
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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

Other Providers at the Same Location NPPES 4

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

DR. JON D SMITH D.D.S.
Dentist (General Practice)
110 CHARTER OAK RD
LEXINGTON, SC 29072
Lexington County (803) 359-6143
BRANDON SCOTT TODD DMD
Dentist (General Practice)
110 CHARTER OAK RD
LEXINGTON, SC 29072
Lexington County (803) 359-6140
CAROLINE GOLDSTON HARTLEY DMD
Dentist (General Practice)
110 CHARTER OAK RD
LEXINGTON, SC 29072
Lexington County (803) 359-6143
DR. TODD CHRISTOPHER CLEARY DMD
Dentist (General Practice)
110 CHARTER OAK RD
LEXINGTON, SC 29072
Lexington County (803) 359-6143

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 South Shore Dental LLC's NPI number?

The NPI number for South Shore Dental LLC is 1396671301. It was assigned to this organization in the NPPES registry on June 18, 2026.

Where is South Shore Dental LLC located?

South Shore Dental LLC is located at 110 Charter Oak Rd, Lexington, SC 29072. The listed phone number is (803) 359-6143.

What is South Shore Dental LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for South Shore Dental LLC was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 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.