NPIMap

Organization Active NPI

Dentistry for Children of South Carolina PC

  • Dentist
  • Hanahan, SC
National Provider Identifier
1063901692
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTISTRY FOR CHILDREN OF SOUTH CAROLINA PC
Practice address
996 Tanner Ford Blvd
Hanahan, SC 29410-4780
Phone
(843) 818-5437
NPI assigned
May 9, 2018
Last updated
Nov 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Authorized official

Name
Jo Ann Rice
Title
Credentialing Director
Phone
(470) 881-8679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

996 Tanner Ford Blvd
Hanahan, SC 29410-4780

Mailing address

2970 Brandywine Rd Ste 200
Atlanta, GA 30341-5549
Phone (770) 692-1000

Other practice location 1

8600 Dorchester Rd
North Charleston, SC 29420-7382
Phone (843) 818-5437

Other practice location 2

216 E Main St
Moncks Corner, SC 29461-3709
Phone (843) 818-5437

Other practice location 3

808 Wappoo Rd
Charleston, SC 29407-5865
Phone (843) 818-5437

Other practice location 4

118 S Walter St
Walterboro, SC 29488-3956
Phone (843) 818-5437

Other practice location 5

2126 Bells Hwy
Walterboro, SC 29488-6817
Phone (843) 818-5437

National Provider Directory

National Provider Directory
Tax ID family
Dentistry for Children of South Carolina PC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

996 Tanner Ford Blvd
Hanahan, SC 29410
Phone (843) 212-8810

8600 Dorchester Rd
North Charleston, SC 29420

118 S Walter St
Walterboro, SC 29488

2126 Bells Hwy
Walterboro, SC 29488
Phone (262) 565-8298

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764288000000",
    "number": "1063901692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 BRANDYWINE RD STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415549",
            "telephone_number": "770-692-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 TANNER FORD BLVD",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294104780",
            "telephone_number": "843-818-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Dorchester Rd",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294207382",
            "country_code": "US",
            "telephone_number": "843-818-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 E Main St",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294613709",
            "country_code": "US",
            "telephone_number": "843-818-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "808 Wappoo Rd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294075865",
            "country_code": "US",
            "telephone_number": "843-818-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 S Walter St",
            "address_purpose": "LOCATION",
            "city": "Walterboro",
            "state": "SC",
            "postal_code": "294883956",
            "country_code": "US",
            "telephone_number": "843-818-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2126 Bells Hwy",
            "address_purpose": "LOCATION",
            "city": "Walterboro",
            "state": "SC",
            "postal_code": "294886817",
            "country_code": "US",
            "telephone_number": "843-818-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENTISTRY FOR CHILDREN OF SOUTH CAROLINA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "470-881-8679"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanahan, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.