JOHN POLYDOROU DMD, MSD
NPI 1821631516
Dentist - Orthodontics and Dentofacial Orthopedics in Goose Creek, SC

Active since October 24, 2019
103 GREENLAND DR, GOOSE CREEK, SC 29445(843) 553-4400 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2022, Oct 24, 2019 (2 updates tracked since 2019).

About John Polydorou Dmd, Msd NPPES

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

JOHN POLYDOROU DMD, MSD (NPI 1821631516) is an individual orthodontics and dentofacial orthopedics provider in Goose Creek, South Carolina, licensed in South Carolina (9687) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1821631516
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameJOHN POLYDOROUCredential: DMD, MSD
Location Address103 GREENLAND DRGoose Creek, SC 29445-5354
Mailing Address5000 College DrSpartanburg, SC 29303-6614
Sole ProprietorNo
Enumeration DateOctober 24, 2019
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
NPI 1821631516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in SC · 9687
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License 8990 (SC)
103 GREENLAND DR, Goose Creek, SC 29445

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist (Orthodontics and Dentofacial Orthopedics)
103 GREENLAND DR
GOOSE CREEK, SC 29445
Dentist (Orthodontics and Dentofacial Orthopedics)
103 GREENLAND DR
GOOSE CREEK, SC 29445
Dentist (Orthodontics and Dentofacial Orthopedics)
103 GREENLAND DR
GOOSE CREEK, SC 29445

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 John Polydorou's NPI number?

The NPI number for John Polydorou is 1821631516. It was assigned to this individual provider in the NPPES registry on October 24, 2019.

Where is John Polydorou located?

John Polydorou practices at 103 Greenland Dr, Goose Creek, SC 29445. The listed phone number is (843) 553-4400.

What is John Polydorou's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does John Polydorou accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian list John Polydorou 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 John Polydorou was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.