Individual provider Active NPI

Matthew Benjamin Winter, DMD

  • General Practice Dentistry
  • Mount Pleasant, SC
National Provider Identifier
1053804658
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10703 Issued in SC
Practice address
1204 Two Island CT
Mount Pleasant, SC 29466-7436
Phone
(843) 881-8881
NPI assigned
Jun 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 34121 TX
General Practice Dentistry 1223G0001X 10703 SC Primary

Addresses

Primary practice location

1204 Two Island CT
Mount Pleasant, SC 29466-7436

Mailing address

6 Stocker Dr
Charleston, SC 29407-7416
Phone (702) 265-0519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10703SCMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Riccobene & Associates CCC, DDS, PC General Practice CurrentSince Mar 24, 2025 Accepting new patients
Pleasant Family Dentistry General Practice PastSince Mar 24, 2025 Accepting new patients

Locations

1204 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 881-8881

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1053804658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STOCKER DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077416",
            "telephone_number": "702-265-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 TWO ISLAND CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667436",
            "telephone_number": "843-881-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "MATTHEW",
        "middle_name": "BENJAMIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34121",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.