1. Home
  2. Directory
  3. South Carolina
  4. Fort Mill
  5. Dentist
  6. NPI Profile

CAROLINA PROFESSIONAL DENTISTRY,LLC
NPI 1649451410
Dentist - General Practice in Fort Mill, SC

Active since November 20, 2007
200 DOBYS BRIDGE RD, SUITE 108, FORT MILL, SC 29715(803) 396-5888(803) 396-5893 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carolina Professional Dentistry,llc NPPES

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

CAROLINA PROFESSIONAL DENTISTRY,LLC (NPI 1649451410) is a healthcare organization registered as a general practice in Fort Mill, South Carolina and active in the NPI registry since November 2007. The organization lists Mary Jane Respass, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649451410
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCAROLINA PROFESSIONAL DENTISTRY,LLC
Location Address200 DOBYS BRIDGE RD, SUITE 108Fort Mill, SC 29715-2083
Mailing Address200 Dobys Bridge Rd, Suite 108Fort Mill, SC 29715-2083 · (803) 396-5888 · Fax (803) 396-5893
Phone(803) 396-5888
Fax(803) 396-5893
Organization SubpartNo
Authorized OfficialMary Jane RespassCeo · (803) 396-5888
Enumeration DateNovember 20, 2007
✔ NPI 1649451410 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 · 4401
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.
200 DOBYS BRIDGE RD, Fort Mill, SC 29715
Open in Google Maps ↗

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

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 Carolina Professional Dentistry,llc's NPI number?

The NPI number for Carolina Professional Dentistry,llc is 1649451410. It was assigned to this organization in the NPPES registry on November 20, 2007.

Where is Carolina Professional Dentistry,llc located?

Carolina Professional Dentistry,llc is located at 200 Dobys Bridge Rd Suite 108, Fort Mill, SC 29715. The listed phone number is (803) 396-5888.

What is Carolina Professional Dentistry,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 Carolina Professional Dentistry,llc was last updated on November 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.