Individual provider Active NPI

Kristi Ammons Dillard, D.M.D.

  • General Practice Dentistry
  • Mount Pleasant, SC
National Provider Identifier
1235328279
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3476 Issued in SC
Practice address
3070 Highway 17 North
Suite 101
Mount Pleasant, SC 29466
Phone
(843) 849-9990
Fax
(843) 849-9656
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3476 SC Primary

Addresses

Primary practice location

3070 Highway 17 North
Suite 101
Mount Pleasant, SC 29466

Mailing address

3070 Highway 17 North
Suite 101
Mount Pleasant, SC 29466-8958
Phone (843) 849-9990

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

LicenseStateTypeSpecialty
3476SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles by KD, LLC CurrentSince May 25, 2025 Accepting new patients
Sewee Dental Care LLC Past Accepting new patients
Life Smiles Dentistry General Practice PastSince Apr 9, 2023 Accepting new patients

Locations

3070 N Highway 17
Ste 101
Mt Pleasant, SC 29466
Phone (843) 849-9990

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1235328279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 HIGHWAY 17 NORTH",
            "address_2": "SUITE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668958",
            "telephone_number": "843-849-9990",
            "fax_number": "843-849-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 HIGHWAY 17 NORTH",
            "address_2": "SUITE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29466",
            "telephone_number": "843-849-9990",
            "fax_number": "843-849-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "KRISTI",
        "middle_name": "AMMONS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.