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EDISTO DENTAL ASSOCIATES LLC
NPI 1871779413
Dentist - General Practice in Orangeburg, SC

Active since January 14, 2008
2197 SAINT MATTHEWS RD, ORANGEBURG, SC 29118(803) 531-1601 Get Directions Write a Review

NPPES record last updated: January 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edisto Dental Associates Llc NPPES

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

EDISTO DENTAL ASSOCIATES LLC (NPI 1871779413) is a healthcare organization registered as a general practice in Orangeburg, South Carolina and active in the NPI registry since January 2008. The organization lists Clifton Jordan, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1871779413
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEDISTO DENTAL ASSOCIATES LLC
Location Address2197 SAINT MATTHEWS RDOrangeburg, SC 29118-2038
Mailing Address2197 St. Matthew RoadOrangeburg, SC 29118 · (803) 531-1601
Phone(803) 531-1601
Organization SubpartNo
Authorized OfficialClifton JordanOwner/dentist · (803) 531-1601
Enumeration DateJanuary 14, 2008
✔ NPI 1871779413 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 · 4010
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.
2197 SAINT MATTHEWS RD, Orangeburg, SC 29118
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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

Other Providers at the Same Location NPPES

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

CLIFTON JORDAN III DDS
Dentist
2197 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (803) 531-1601

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 Edisto Dental Associates LLC's NPI number?

The NPI number for Edisto Dental Associates LLC is 1871779413. It was assigned to this organization in the NPPES registry on January 14, 2008.

Where is Edisto Dental Associates LLC located?

Edisto Dental Associates LLC is located at 2197 Saint Matthews Rd, Orangeburg, SC 29118. The listed phone number is (803) 531-1601.

What is Edisto Dental Associates 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 Edisto Dental Associates LLC was last updated on January 14, 2008. 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.