Active NPI
Lowcountry Center for Prosthodontic Care
- Prosthodontics
- Bluffton, SC
National Provider Identifier
1043301146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 0585
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3764 | SC | |
| Prosthodontics | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZX3764 | Medicaid | SC |
Other names 1
- Lowcountry Prosthodontics
National Provider Directory
National Provider DirectoryLocations
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.