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

DISTINCTIVE DENTISTRY
NPI 1760664304
Dentist - General Practice in Irmo, SC

Active since December 05, 2007
11107 BROAD RIVER RD, SUITE D, IRMO, SC 29063(803) 749-3980(803) 749-3981 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Distinctive Dentistry NPPES

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

DISTINCTIVE DENTISTRY (NPI 1760664304) is a healthcare organization registered as a general practice in Irmo, South Carolina and active in the NPI registry since December 2007. The organization lists Robert Ray Cunningham, Owner, as its authorized official.

NPPES Registry Identity

NPI1760664304
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDISTINCTIVE DENTISTRY
Location Address11107 BROAD RIVER RD, SUITE DIrmo, SC 29063-7602
Mailing Address11107 Broad River Rd, Suite DIrmo, SC 29063-7602 · (803) 749-3980 · Fax (803) 749-3981
Phone(803) 749-3980
Fax(803) 749-3981
Organization SubpartNo
Authorized OfficialRobert Ray CunninghamOwner · (803) 917-6962
Enumeration DateDecember 5, 2007
✔ NPI 1760664304 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 · 4114
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.
11107 BROAD RIVER RD, Irmo, SC 29063
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 Distinctive Dentistry's NPI number?

The NPI number for Distinctive Dentistry is 1760664304. It was assigned to this organization in the NPPES registry on December 5, 2007.

Where is Distinctive Dentistry located?

Distinctive Dentistry is located at 11107 Broad River Rd Suite D, Irmo, SC 29063. The listed phone number is (803) 749-3980.

What is Distinctive Dentistry's specialty?

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

What insurance does Distinctive Dentistry accept?

Health plans from UnitedHealthcare list Distinctive Dentistry 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 Distinctive Dentistry was last updated on December 5, 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.