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DR. SCOTT KOOISTRA D.D.S
NPI 1447221320
Dentist - General Practice in Beaufort, SC

Active since January 30, 2006
1 PINCKNEY BLVD, BEAUFORT, SC 29902(843) 228-2683 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2022, Oct 18, 2021 (2 updates tracked since 2021).

About Dr. Scott Kooistra D.d.s NPPES

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

DR. SCOTT KOOISTRA D.D.S (NPI 1447221320) is an individual general practice provider in Beaufort, South Carolina, licensed in Indiana (12009770A) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1447221320
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SCOTT KOOISTRACredential: D.D.S
Location Address1 PINCKNEY BLVDBeaufort, SC 29902-6122
Mailing Address508 Switchgrass LnGrayslake, IL 60030-3522 · (847) 752-8360
Phone(843) 228-2683
Sole ProprietorNo
Enumeration DateJanuary 30, 2006
Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
✔ NPI 1447221320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12009770A
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.
1 PINCKNEY BLVD, Beaufort, SC 29902
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Other Providers at the Same Location NPPES 20

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

SUSAN HEIM
Specialist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-5232
JESSIE C SANTIAGO JR. PA C
Physician Assistant (Medical)
1 PINCKNEY BLVD, ATTN PROFESSIONAL AFFAIRS COORDINATOR
BEAUFORT, SC 29902
Beaufort County (843) 228-5577
DR. JEREMY ROBERT GIES D.M.D.
Dentist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-3500
RAYMOND CROSS PT DPT
Physical Therapist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-1318
MICHAEL JAMES DAVIDSON RN
Nurse Anesthetist, Certified Registered
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-5994
DOUGLAS ROGER GILLETT DDS
Dentist
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT, ATTN:PROF AFFAIRS COORDINATOR
BEAUFORT, SC 29902
Beaufort County (843) 228-5577
KURT JOHN BREILING DDS
Dentist
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS COORD
BEAUFORT, SC 29902
Beaufort County (843) 228-5577
DR. JOHN SCOTT DONOUGHE DO
Orthopaedic Surgery
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-5455

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 Scott Kooistra's NPI number?

The NPI number for Scott Kooistra is 1447221320. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Scott Kooistra located?

Scott Kooistra practices at 1 Pinckney Blvd, Beaufort, SC 29902. The listed phone number is (843) 228-2683.

What is Scott Kooistra'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 Scott Kooistra was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.