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RYAN P COLOSI DDS
NPI 1528428091
Dentist - Pediatric Dentistry in Clover, SC

Active since February 26, 2016
534 NAUTICAL DR., CLOVER, SC 29710(803) 619-5155 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 24, 2017, May 20, 2016, Feb 26, 2016 (3 updates tracked since 2016).

About Ryan P Colosi Dds NPPES

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

RYAN P COLOSI DDS (NPI 1528428091) is a healthcare organization registered as a pediatric dentistry in Clover, South Carolina and active in the NPI registry since February 2016. The organization lists Ryan Peter Colosi, Member, as its authorized official.

NPPES Registry Identity

NPI1528428091
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLAKE WYLIE PEDIATRIC DENTISTRY, LLC
Location Address534 NAUTICAL DR.Clover, SC 29710-6102
Mailing Address534 Nautical DrLake Wylie, SC 29710-5001 · (803) 619-5155 · Fax (803) 619-6575
Phone(803) 619-5155
Organization SubpartNo
Authorized OfficialRyan Peter ColosiMember · (803) 619-5155
Enumeration DateFebruary 26, 2016
Last NPPES UpdateMarch 24, 20173 updates tracked since enumeration
✔ NPI 1528428091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in SC · 8097
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
534 NAUTICAL DR., Clover, SC 29710
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Other Names 1

Other NameRyan P Colosi Dds

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

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 Lake Wylie Pediatric Dentistry, LLC's NPI number?

The NPI number for Lake Wylie Pediatric Dentistry, LLC is 1528428091. It was assigned to this organization in the NPPES registry on February 26, 2016. The provider is also known as Ryan P Colosi Dds.

Where is Lake Wylie Pediatric Dentistry, LLC located?

Lake Wylie Pediatric Dentistry, LLC is located at 534 Nautical Dr., Clover, SC 29710. The listed phone number is (803) 619-5155.

What is Lake Wylie Pediatric Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Lake Wylie Pediatric Dentistry, LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Lake Wylie Pediatric Dentistry, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Wylie Pediatric Dentistry, LLC was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.