Benjamin Craig Jordan, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8089 Issued in SC

Practice address

737 S Main St
Society Hill, SC 29593-8972

Phone

(866) 815-9845

Fax

(800) 882-4690

NPI assigned

Jun 27, 2012

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

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BACCCD

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.

• Caresouth Carolina, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartsville, SC
  • NPI 1720082571
  Medicare reassignment NPD
• Caresouth Carolina, Inc

  • Federally Qualified Health Center (FQHC)
  • Society Hill, SC
  • NPI 1194763714
  NPD
• Blackman Family Dentistry

  • General Practice Dentistry
  • Cheraw, SC
  • NPI 1912193152
  NPD (past)
• Caresouth Carolina Inc

  • Federally Qualified Health Center (FQHC)
  • Society Hill, SC
  • NPI 1174833511
  NPD (past)

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1437413119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295511090",
            "telephone_number": "843-857-0111",
            "fax_number": "843-309-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 S MAIN ST",
            "city": "SOCIETY HILL",
            "state": "SC",
            "postal_code": "295938972",
            "telephone_number": "866-815-9845",
            "fax_number": "800-882-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "BENJAMIN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX8089",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ludie Kathleen Floyd-Moore, LISW-CP
• Sumner Garland, M.S.
• Brandi Rollins Hair, DMD
• Mae E Jesneck, DDS, LCSW
• Jimmi Lynette Jones, FNP
• Elizabeth Kershner
• Heather K Kilpatrick, DMD
• Rose Laney
• Pickens Moyd Jr.
• Joe L Reynolds, ANP

• General Practice Dentistry in Society Hill, SC
• Providers in Society Hill, 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 Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.