SC Southern Dental PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SC SOUTHERN DENTAL PC

Doing business as

James Island Family, Cosmetic and Implant Dentistry

Practice address

531 Folly Rd
Charleston, SC 29412-3007

Phone

(843) 795-1111

NPI assigned

Oct 22, 2024

Organization subpart

Yes

Parent organization

SC SOUTHERN DENTAL PCAs reported in NPPES

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

Authorized official

Name

Erika Melissa Menjivar

Title

Sr. Credentialing Specialist

Phone

(469) 596-6137

Specialties & licenses 1

Addresses

Other names 1

• James Island Family, Cosmetic and Implant Dentistry Doing business as

Tax ID family

SC Southern Dental PC3 organizations share this tax ID, including this one

Part of

SC Southern Dental PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• SC Southern Dental PC

  • Dentist
  • Rock Hill, SC
  • NPI 1326853805
  NPD tax ID
• SC Southern Dental PC

  • Dentist
  • Beaufort, SC
  • NPI 1528912961
  NPD tax ID

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1285455345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 GRANITE PKWY STE 780",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123007",
            "telephone_number": "843-795-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC SOUTHERN DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SC SOUTHERN DENTAL PC",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "MENJIVAR",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "SR. CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "469-596-6137"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James Island Family, Cosmetic and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah M Sayles, CRNA
• Gene Brian Saylors, M.D.
• Alexander Sbrocchi, M.D.
• SC Professional Services, LLC
• SC Southern Dental FFS PC
• Jacopo Scaggiante, MD
• Megan Scallion, MPH, MSW, LMSW
• Margaret Calista Scanlon, CRNA
• Ashley Scannell
• Stefany Scaringi, NP

• Dentist in Charleston, SC
• Providers in Charleston, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.