TIMOTHY I. MCCONNELL D.M.D. P.A.
NPI 1528016573
Dentist - General Practice in Goose Creek, SC

Active since May 04, 2006
100 BERKELEY SQUARE LN, GOOSE CREEK, SC 29445(843) 553-5235(843) 797-8189 Get Directions Write a Review

NPPES record last updated: April 4, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Timothy I. Mcconnell D.m.d. P.a. NPPES

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

TIMOTHY I. MCCONNELL D.M.D. P.A. (NPI 1528016573) is a healthcare organization registered as a general practice in Goose Creek, South Carolina and active in the NPI registry since May 2006. The organization lists Timothy Ivan Mcconnell, Owner, as its authorized official.

NPPES Registry Identity

NPI1528016573
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIMOTHY I. MCCONNELL D.M.D. P.A.
Location Address100 BERKELEY SQUARE LNGoose Creek, SC 29445-2958
Mailing AddressPo Box 1120Goose Creek, SC 29445-1120 · (843) 553-5235 · Fax (843) 797-8189
Fax(843) 797-8189
Organization SubpartNo
Authorized OfficialTimothy Ivan McconnellOwner · (843) 553-5235
Enumeration DateMay 4, 2006
Last NPPES UpdateApril 4, 2011
NPI 1528016573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in SC · 1759
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.
100 BERKELEY SQUARE LN, Goose Creek, SC 29445

Other Identifiers 2

MedicaidZ17599SC
Other179343SC · United Concordia Ins #

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 5

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

Dentist
100 BERKELEY SQUARE LN, POB 1460
GOOSE CREEK, SC 29445
Dentist (General Practice)
100 BERKELEY SQUARE LN
GOOSE CREEK, SC 29445
Dentist (General Practice)
100 BERKELEY SQUARE LN
GOOSE CREEK, SC 29445
Dentist (General Practice)
100 BERKELEY SQUARE LN
GOOSE CREEK, SC 29445
Dentist (General Practice)
100 BERKELEY SQUARE LN
GOOSE CREEK, SC 29445

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 Timothy I. Mcconnell D.M.D. P.A.'s NPI number?

The NPI number for Timothy I. Mcconnell D.M.D. P.A. is 1528016573. It was assigned to this organization in the NPPES registry on May 4, 2006.

Where is Timothy I. Mcconnell D.M.D. P.A. located?

Timothy I. Mcconnell D.M.D. P.A. is located at 100 Berkeley Square Ln, Goose Creek, SC 29445. The listed phone number is (843) 553-5235.

What is Timothy I. Mcconnell D.M.D. P.A.'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 Timothy I. Mcconnell D.M.D. P.A. was last updated on April 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.