NPIMap

Organization Active NPI

Dentistry for Children of South Carolina PC

  • Pediatric Dentistry
  • Lexington, SC
National Provider Identifier
1376955351
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN013607 Issued in GA
Legal business name
DENTISTRY FOR CHILDREN OF SOUTH CAROLINA PC
Practice address
1767 S Lake Dr
Ste a
Lexington, SC 29073-6734
Phone
(404) 389-1950
NPI assigned
May 27, 2014
Last updated
Nov 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Authorized official

Name
Jo Ann Rice
Title
Credentialing Director
Phone
(470) 881-8679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN013607 GA Primary

Addresses

Primary practice location

1767 S Lake Dr
Ste a
Lexington, SC 29073-6734

Mailing address

2970 Brandywine Rd Ste 200
Atlanta, GA 30341-5549
Phone (770) 692-1000

National Provider Directory

National Provider Directory
Tax ID family
Dentistry for Children of South Carolina PC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

1350 Spring St NW
Ste 600
Atlanta, GA 30309

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764288000000",
    "number": "1376955351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 BRANDYWINE RD STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415549",
            "telephone_number": "770-692-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 S LAKE DR",
            "address_2": "STE A",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290736734",
            "telephone_number": "404-389-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY FOR CHILDREN OF SOUTH CAROLINA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "470-881-8679"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.