AZALEA DENTAL LLC
NPI 1568678407
Dentist - General Practice in Summerville, SC

Q: What is Azalea Dental LLC's NPI number?

The NPI number for Azalea Dental LLC is 1568678407. It was assigned to this organization in the NPPES registry on May 15, 2007.

Q: What is Azalea Dental LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Azalea Dental LLC was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 15, 2007

310 N GUM ST STE B, SUMMERVILLE, SC 29483(843) 216-9754(843) 216-9756 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Azalea Dental Llc NPPES

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

AZALEA DENTAL LLC (NPI 1568678407) is a healthcare organization registered as a general practice in Summerville, South Carolina and active in the NPI registry since May 2007. The organization lists Thomas Patrick Riley, Dentist And Owner, as its authorized official.

NPPES Registry Identity

NPI1568678407

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameAZALEA DENTAL LLC

Location Address310 N GUM ST STE BSummerville, SC 29483-6874

Mailing Address310 N Gum St Ste BSummerville, SC 29483-6874 · (843) 216-9754 · Fax (843) 216-9756

Phone(843) 216-9754

Fax(843) 216-9756

Organization SubpartNo

Authorized OfficialThomas Patrick RileyDentist And Owner · (843) 261-9754

Enumeration DateMay 15, 2007

Last NPPES UpdateJuly 17, 2007

✔ NPI 1568678407 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 · 3580

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.

310 N GUM ST STE B, Summerville, SC 29483

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Other Identifiers 1

MedicaidZX03580SC

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

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

DR. THOMAS PATRICK RILEY DMD

Dentist

310 N GUM ST STE B
SUMMERVILLE, SC 29483

Berkeley County (843) 437-6165

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 Azalea Dental LLC's NPI number?

The NPI number for Azalea Dental LLC is 1568678407. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Azalea Dental LLC located?

Azalea Dental LLC is located at 310 N Gum St Ste B, Summerville, SC 29483. The listed phone number is (843) 216-9754.

What is Azalea 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 Azalea Dental LLC was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.