Individual provider Active NPI

Jeffrey M Solomon, D.D.S.

  • Dentist
  • Bluffton, SC
National Provider Identifier
1306034251
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9493 Issued in SC
Practice address
255 New Riverside Village Way Ste 100
Bluffton, SC 29910-3447
Phone
(843) 757-8100
NPI assigned
Oct 4, 2007
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9493 SC Primary

Addresses

Primary practice location

255 New Riverside Village Way Ste 100
Bluffton, SC 29910-3447

Mailing address

255 New Riverside Village Way Ste 100
Bluffton, SC 29910-3447
Phone (843) 757-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811001258 MI Order and Referring Only - DentistPractitioner - Dentist 0446521256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19144MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Smiles Brighton PLLC Current Accepting new patients
Affordable Dental Care PLLC Past Accepting new patients
Lifetime Dental Care of Michigan, P.C. General Practice PastSince Mar 13, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1306034251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 NEW RIVERSIDE VILLAGE WAY STE 100",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299103447",
            "telephone_number": "843-757-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 NEW RIVERSIDE VILLAGE WAY STE 100",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299103447",
            "telephone_number": "843-757-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.