PREMIER DENTISTRY OF BLYTHEWOOD
NPI 1730455965
Dentist - General Practice in Blythewood, 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 April 02, 2012

213 MAIN STREET, BLYTHEWOOD, SC 29016(803) 754-9545(803) 754-2158 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Premier Dentistry Of Blythewood NPPES

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

PREMIER DENTISTRY OF BLYTHEWOOD (NPI 1730455965) is a healthcare organization registered as a general practice in Blythewood, South Carolina and active in the NPI registry since April 2012. The organization lists Kim Wilson, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1730455965

Entity TypeOrganization

Primary Taxonomy1223G0001X

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

Location Address213 MAIN STREETBlythewood, SC 29016-0589

Mailing AddressPo Box 589Blythewood, SC 29016-0589 · (803) 754-9545 · Fax (803) 754-2158

Phone(803) 754-9545

Fax(803) 754-2158

Organization SubpartYes

Authorized OfficialKim WilsonCredentialing Coordinator · (217) 540-5170

Enumeration DateApril 2, 2012

✔ NPI 1730455965 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.

213 MAIN STREET, Blythewood, SC 29016

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Other Names 1

Doing Business AsPremier Dentistry Of Blythewood

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

The NPI number for Dental Professionals Of South Carolina, P.C. is 1730455965. It was assigned to this organization in the NPPES registry on April 2, 2012. The provider is doing business as Premier Dentistry Of Blythewood.

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

Dental Professionals Of South Carolina, P.C. is located at 213 Main Street, Blythewood, SC 29016. The listed phone number is (803) 754-9545.

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.

When was this NPI record last updated?

The NPPES record for Dental Professionals Of South Carolina, P.C. was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.