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EDGEWATER FAMILY DENTAL
NPI 1871964015
Dentist - General Practice in Indian Land, SC

Active since October 14, 2015
1028 EDGEWATER CORP. PKWY, SUITE 101, INDIAN LAND, SC 29707(803) 399-7659 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgewater Family Dental NPPES

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

EDGEWATER FAMILY DENTAL (NPI 1871964015) is a healthcare organization registered as a general practice in Indian Land, South Carolina and active in the NPI registry since October 2015. The organization lists Kendra Walker, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1871964015
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL PROFESSIONALS OF SOUTH CAROLINA, PC
Location Address1028 EDGEWATER CORP. PKWY, SUITE 101Indian Land, SC 29707
Mailing Address1028 Edgewater Corp. Pkwy, Suite 101Indian Land, SC 29707
Phone(803) 399-7659
Organization SubpartYes
Authorized OfficialKendra WalkerCredentialing Coordinator · (217) 540-8312
Enumeration DateOctober 14, 2015
✔ NPI 1871964015 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.
1028 EDGEWATER CORP. PKWY, Indian Land, SC 29707
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Other Names 1

Doing Business AsEdgewater Family Dental

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, PC's NPI number?

The NPI number for Dental Professionals Of South Carolina, PC is 1871964015. It was assigned to this organization in the NPPES registry on October 14, 2015. The provider is doing business as Edgewater Family Dental.

Where is Dental Professionals Of South Carolina, PC located?

Dental Professionals Of South Carolina, PC is located at 1028 Edgewater Corp. Pkwy Suite 101, Indian Land, SC 29707. The listed phone number is (803) 399-7659.

What is Dental Professionals Of South Carolina, PC'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, PC was last updated on October 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.