Yenan Xu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10031 Issued in SC

Practice address

1344 Highway 160 E Ste 101
Fort Mill, SC 29715-7066

Phone

(803) 650-6352

NPI assigned

Jun 21, 2017

Last updated

May 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• 803 Dental LLC

  • General Practice Dentistry
  • Fort Mill, SC
  • NPI 1326808114
  NPD Authorized official
• Ganglani DMD PLLC

  dba Fresh Dental Park Road

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1346851805
  NPD

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1316467483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4267 TOURNETTE DR",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297079228",
            "telephone_number": "347-963-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 HIGHWAY 160 E STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157066",
            "telephone_number": "803-650-6352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8420 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282105801",
            "country_code": "US",
            "telephone_number": "704-910-3098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2514 Cuthbertson Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281736417",
            "country_code": "US",
            "telephone_number": "704-243-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XU",
        "first_name": "YENAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11997",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Whitesides Wright, MS, CCC-SLP
• Mark Edwin Wright
• Patrice Wright, LCSW, LISW-CP
• Sandra K Wright, FNP
• Shelby Barnwell Wright, AU.D., CCC-A
• George Marshall Yearta, MD
• Elizabeth H Yegge
• York Primary and Preventive Medicine PC
• Nicole Youkana, PT, DPT
• Brianna Youmans

• General Practice Dentistry in Fort Mill, SC
• Providers in Fort Mill, 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 May 13, 2025; 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.