Premier Smile and Implant Center

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

PREMIER SMILE AND IMPLANT CENTER

Practice address

10225 Ocean Hwy Unit 203
Pawleys Island, SC 29585-6507

Phone

(843) 314-0866

Fax

(843) 314-0615

NPI assigned

Jul 28, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Walsh Keller, DDSNPI 1316696172

Title

Owner

Phone

(540) 903-1731

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Keller

  • Dentist
  • Pawleys Island, SC
  • NPI 1316696172
  NPD Authorized official

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1497638456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 OCEAN HWY UNIT 203",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856507",
            "telephone_number": "843-314-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 OCEAN HWY UNIT 203",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856507",
            "telephone_number": "843-314-0866",
            "fax_number": "843-314-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SMILE AND IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "WALSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-903-1731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Petersen Jr., MD
• Richard Andrew Philipp II, MD
• Robyn H Polk, P.T.
• Karen Owens Pope, LMT
• Karen Lee Porterfield, MA
• Professional Rehabilitation Services, Inc
• Publix Super Markets Inc
• Nancy Riesmeyer Pugmire, LPC
• Carol W. Quinn, PT
• Daniel Quirk III, PA

• Dental Laboratory in Pawleys Island, SC
• Providers in Pawleys Island, SC by specialty
• Dental Laboratory in South Carolina

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