Organization Active NPI

James Island Dentistry for Children LLC

  • Pediatric Dentistry
  • Charleston, SC
National Provider Identifier
1104769991
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JAMES ISLAND DENTISTRY FOR CHILDREN LLC
Practice address
1265 Folly Rd
Charleston, SC 29412-4105
Phone
(843) 818-5437
NPI assigned
Apr 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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
(609) 315-3851

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

1265 Folly Rd
Charleston, SC 29412-4105

Mailing address

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1104769991",
    "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": "1265 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124105",
            "telephone_number": "843-818-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES ISLAND DENTISTRY FOR CHILDREN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "609-315-3851"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.