Tri-County Dental Arts

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TRI-COUNTY DENTAL ARTS

Practice address

109 Wappoo Creek Dr Ste 4a
Charleston, SC 29412-2165

Phone

(843) 795-0231

NPI assigned

Sep 13, 2024

Last updated

Sep 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Emil Boller, DMD

Title

Dentist

Phone

(973) 349-6271

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• James R. Decker, D.M.D.

  • Dentist
  • Charleston, SC
  • NPI 1205997921
  NPD (past)

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1154157295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WAPPOO CREEK DR STE 4A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122165",
            "telephone_number": "843-795-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WAPPOO CREEK DR STE 4A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122165",
            "telephone_number": "843-795-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "BOLLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "EMIL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "973-349-6271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Trembley, MA, LPC
• John P Tressy, MA, LPC-S
• Chanida Trevathan, RBT
• Matteo Trezzi, M.D.
• Tri-City Diabetic Homecare Services LLC
• Tri-County Surgical Specialists LLC
• Tri-County Surgical Specialists LLC
• Matthew James Triano, MD
• Tricounty Surgical Associates, PA
• Trident Ambulatory Surgery Center, L.P.

• General Practice Dentistry in Charleston, SC
• Providers in Charleston, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.