Organization Active NPI

Lowcountry Center for Prosthodontic Care

  • Prosthodontics
  • Bluffton, SC
National Provider Identifier
1043301146
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
0585 Issued in SC
Legal business name
LOWCOUNTRY CENTER FOR PROSTHODONTIC CARE
Practice address
25 Clark Summit Dr
Bluffton, SC 29910-4205
Phone
(843) 706-3800
Fax
(843) 706-3802
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Virgil Vacarean, DMD
Title
Dentist
Phone
(843) 706-3800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 3764 SC
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 0585 SC Primary

Addresses

Primary practice location

25 Clark Summit Dr
Bluffton, SC 29910-4205

Mailing address

25 Clark Summit Dr
Bluffton, SC 29910-4205
Phone (843) 706-3800

Other identifiers 1

IdentifierTypeStateIssuer
ZX3764MedicaidSC

Other names 1

  • Lowcountry Prosthodontics Other name

National Provider Directory

National Provider Directory

Locations

25 Clark Summit Dr
Bluffton, SC 29910
Phone (843) 706-3800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1043301146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CLARK SUMMIT DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104205",
            "telephone_number": "843-706-3800",
            "fax_number": "843-706-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CLARK SUMMIT DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104205",
            "telephone_number": "843-706-3800",
            "fax_number": "843-706-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY CENTER FOR PROSTHODONTIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "VACAREAN",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-706-3800",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "3764",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "SC",
            "license": "0585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3764",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowcountry Prosthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.