Organization Active NPI

Dorchester Ortho LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • North Charleston, SC
National Provider Identifier
1104743590
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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

Updated by the provider on Jul 6, 2026

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.