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SOLOMON KIDS PEDIATRIC DENTISTRY KNIGHTSVILLE LLC
NPI 1770006876
Dentist - Pediatric Dentistry in Summerville, SC

Active since July 20, 2017
491 W BUTTERNUT RD, SUMMERVILLE, SC 29483(843) 871-0842 Get Directions Write a Review

NPPES record last updated: July 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Solomon Kids Pediatric Dentistry Knightsville Llc NPPES

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

SOLOMON KIDS PEDIATRIC DENTISTRY KNIGHTSVILLE LLC (NPI 1770006876) is a healthcare organization registered as a pediatric dentistry in Summerville, South Carolina and active in the NPI registry since July 2017. The organization lists Angela Marie Bazzle, Operation Manager, as its authorized official.

NPPES Registry Identity

NPI1770006876
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSOLOMON KIDS PEDIATRIC DENTISTRY KNIGHTSVILLE LLC
Location Address491 W BUTTERNUT RDSummerville, SC 29483-5507
Mailing Address1971 N Main StSummerville, SC 29486-7820 · (843) 871-0842
Phone(843) 871-0842
Organization SubpartNo
Authorized OfficialAngela Marie BazzleOperation Manager · (843) 871-0842
Enumeration DateJuly 20, 2017
✔ NPI 1770006876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in SC · 8526
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
491 W BUTTERNUT RD, Summerville, SC 29483
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Other Identifiers 2

MedicaidZX8526SC
MedicaidZX8227SC

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 BlueCross BlueShield of South 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.

LINDSAY ROSE ODONNELL
Dentist
491 W BUTTERNUT RD
SUMMERVILLE, SC 29483
Berkeley County (843) 419-1368

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 Solomon Kids Pediatric Dentistry Knightsville LLC's NPI number?

The NPI number for Solomon Kids Pediatric Dentistry Knightsville LLC is 1770006876. It was assigned to this organization in the NPPES registry on July 20, 2017.

Where is Solomon Kids Pediatric Dentistry Knightsville LLC located?

Solomon Kids Pediatric Dentistry Knightsville LLC is located at 491 W Butternut Rd, Summerville, SC 29483. The listed phone number is (843) 871-0842.

What is Solomon Kids Pediatric Dentistry Knightsville LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Solomon Kids Pediatric Dentistry Knightsville LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Solomon Kids Pediatric Dentistry Knightsville LLC 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 Solomon Kids Pediatric Dentistry Knightsville LLC was last updated on July 20, 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.