Active NPI
Jessica Dinh, DMD
- General Practice Dentistry
- Summerville, SC
National Provider Identifier
1144890575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 111089
- Practice address
- 1724 State Rd Unit 4D
Summerville, SC 29486-2842 - Phone
- (843) 376-3510
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9925 | SC | |
| General Practice Dentistry | 1223G0001X | 111089 | CA | Primary |
Addresses
Primary practice location
1724 State Rd Unit 4D
Summerville, SC 29486-2842
Mailing address
244 Witch Hazel St
Summerville, SC 29486-6979
Phone (864) 430-9506
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
| License | State | Type | Specialty |
|---|---|---|---|
| 111089 | CA | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1144890575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 WITCH HAZEL ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294866979",
"telephone_number": "864-430-9506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 STATE RD UNIT 4D",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294862842",
"telephone_number": "843-376-3510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINH",
"first_name": "JESSICA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "9925",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "111089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
- Renae Lynn Dietzel
- Dawn Marie Digennaro, LMSW
- Cathie Elizabeth Diggs, LISW-CP
- Chris Digiandomenico, LMSW
- Rosa C Rimer Dimarco, LMSW
- Harry Brown Dinwiddie, DPT, MAT, CYT
- Sara Dixon
- Mitchell Weeks Dobrow, MA, CACII-P
- Doctors Care SC, PA (Doctors Care Summerville)
- Doctors Care SC, PA (Doctors Care Dorchester Road)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.