Active NPI
Dorchester Ortho LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- North Charleston, SC
National Provider Identifier
1104743590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- DORCHESTER ORTHO LLC
- Practice address
- 8626 Dorchester Rd Ste 102
North Charleston, SC 29420-7328 - Phone
- (843) 261-2001
- Fax
- (843) 738-6942
- NPI assigned
- Jul 6, 2026
- 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
- Jenni Tomlinson
- Title
- Credentialing and Enrollment
- Phone
- (470) 552-1823
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
8626 Dorchester Rd Ste 102
North Charleston, SC 29420-7328
Mailing address
8626 Dorchester Rd Ste 102
North Charleston, SC 29420-7328
Phone (843) 261-2001
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783296000000",
"number": "1104743590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8626 DORCHESTER RD STE 102",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294207328",
"telephone_number": "843-261-2001",
"fax_number": "843-738-6942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8626 DORCHESTER RD STE 102",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294207328",
"telephone_number": "843-261-2001",
"fax_number": "843-738-6942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DORCHESTER ORTHO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-06",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A",
"authorized_official_last_name": "TOMLINSON",
"authorized_official_first_name": "JENNI",
"authorized_official_title_or_position": "CREDENTIALING AND ENROLLMENT",
"authorized_official_telephone_number": "470-552-1823"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.