Isabel Ghowanlu Driggers, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

SC3889 Issued in SC

Practice address

1000 Tanner Ford Blvd
Suite 370
Hanahan, SC 29410-4707

Phone

(843) 818-5437

Fax

(843) 725-1594

NPI assigned

Dec 27, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Kids Dental PA

  • Pediatric Dentistry
  • North Charleston, SC
  • NPI 1962847814
  Authorized official Same address or phone

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184789281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TANNER FORD BLVD",
            "address_2": "SUITE 370",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294104707",
            "telephone_number": "843-818-5437",
            "fax_number": "843-725-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TANNER FORD BLVD",
            "address_2": "SUITE 370",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294104707",
            "telephone_number": "843-818-5437",
            "fax_number": "843-725-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIGGERS",
        "first_name": "ISABEL",
        "middle_name": "GHOWANLU",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013076",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "SC3889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DN013076",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3889",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kjersti Damsker, DMD
• Joseph R Davis
• Susan Royal Davis, M.D.
• Taylor Dempsey, DC
• Dentistry for Children of South Carolina PC
• Dana Durlach, DMD
• Amber Etienne, OTR
• Jennifer Teal Frazier, OTR/L
• Jessica Urania Frazier
• Brooke Jackson Gerlach, PA-C

• Pediatric Dentistry in Hanahan, SC
• Providers in Hanahan, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.