Active NPI
McGregor T. Dennis Jr., D.M.D.
- General Practice Dentistry
- Moncks Corner, SC
National Provider Identifier
1376546374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3103
- Practice address
- 219 W Main St
Moncks Corner, SC 29461-2692 - Phone
- (843) 761-7121
- Fax
- (843) 761-7121
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3103 | SC | Primary |
Addresses
Primary practice location
219 W Main St
Moncks Corner, SC 29461-2692
Mailing address
219 W Main St
Moncks Corner, SC 29461-2692
Phone (843) 761-7121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z31038 | Medicaid | SC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3103 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376546374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 W MAIN ST",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294612692",
"telephone_number": "843-761-7121",
"fax_number": "843-761-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 W MAIN ST",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294612692",
"telephone_number": "843-761-7121",
"fax_number": "843-761-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "MCGREGOR",
"middle_name": "T.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z31038",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moncks Corner, SC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.