Gregory B. Wiggins, DMD, PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0513 Issued in SC

Practice address

2170 Ashley Phosphate Rd
Suite 600
North Charleston, SC 29406-4190

Phone

(843) 569-1717

Fax

(843) 569-6139

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 9, 2021 through Sep 9, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Charleston Endodontics LLC

  • Endodontics
  • Summerville, SC
  • NPI 1144825993
  NPD (past)
• King & Wiggins, D.M.D., P.a.

  • Endodontics
  • North Charleston, SC
  • NPI 1598988644
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376500322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 ASHLEY PHOSPHATE RD",
            "address_2": "SUITE 600",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064190",
            "telephone_number": "843-569-1717",
            "fax_number": "843-569-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 ASHLEY PHOSPHATE RD",
            "address_2": "SUITE 600",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064190",
            "telephone_number": "843-569-1717",
            "fax_number": "843-569-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "GREGORY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DMD, PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "0513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3375",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara E. White, R. PH.
• Adam Whitney
• Whole Heart Family Medicine
• Brian Glenn Widenhouse, M.D.
• Jason Wieczorek, PA-C
• Carrie Anne Wilcox, RN, BSN
• Sue-Ann Wildman, MD
• Shelley Wilds, RN, BSN
• Robin Margaret Wilkening, MD, MPH
• Anna Clar Wilks, RN

• Endodontics in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Endodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.