DENTAL CARE OF LAKE WYLIE
NPI 1619423449
Dentist - General Practice in Clover, SC

Q: What is Dental Professionals Of South Carolina, P.C.'s specialty?

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

Active since August 31, 2016

209 LATITUDE LANE, CLOVER, SC 29710(803) 619-4511(803) 619-4586 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2017, Aug 31, 2016 (2 updates tracked since 2016).

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About Dental Care Of Lake Wylie NPPES

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

DENTAL CARE OF LAKE WYLIE (NPI 1619423449) is a healthcare organization registered as a general practice in Clover, South Carolina and active in the NPI registry since August 2016. The organization lists Kendra Walker, Credentialing Team Lead, as its authorized official.

NPPES Registry Identity

NPI1619423449

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.

Location Address209 LATITUDE LANEClover, SC 29710

Mailing Address209 Latitude LaneClover, SC 29710 · (803) 619-4511 · Fax (803) 619-4586

Phone(803) 619-4511

Fax(803) 619-4586

Organization SubpartYes

Authorized OfficialKendra WalkerCredentialing Team Lead · (217) 540-8312

Enumeration DateAugust 31, 2016

Last NPPES UpdateJanuary 9, 20172 updates tracked since enumeration

✔ NPI 1619423449 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.

209 LATITUDE LANE, Clover, SC 29710

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Other Names 1

Doing Business AsDental Care Of Lake Wylie

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 Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

Other Providers at the Same Location NPPES

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

MRS. LACHELLE HENDLEY MOORE DMD

Dentist (General Practice)

209 LATITUDE LANE
CLOVER, SC 29710

York County (803) 619-4511

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 Dental Professionals Of South Carolina, P.C.'s NPI number?

The NPI number for Dental Professionals Of South Carolina, P.C. is 1619423449. It was assigned to this organization in the NPPES registry on August 31, 2016. The provider is doing business as Dental Care Of Lake Wylie.

Where is Dental Professionals Of South Carolina, P.C. located?

Dental Professionals Of South Carolina, P.C. is located at 209 Latitude Lane, Clover, SC 29710. The listed phone number is (803) 619-4511.

What is Dental Professionals Of South Carolina, P.C.'s specialty?

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

What insurance does Dental Professionals Of South Carolina, P.C. accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Dental Professionals Of South Carolina, P.C. 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 Dental Professionals Of South Carolina, P.C. was last updated on January 9, 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.