Irmo Kids Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

IRMO KIDS DENTAL LLC

Doing business as

Irmo Dentistry

Practice address

7570 Woodrow St
Irmo, SC 29063-2831

Phone

(803) 764-2013

NPI assigned

Mar 25, 2025

Last updated

Nov 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chad Tolbert

Title

Consultant

Phone

(803) 764-2013

Specialties & licenses 1

Addresses

Other names 1

• Irmo Dentistry Doing business as

Tax ID family

Irmo Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Irmo Kids Dental LLC

  • Dental Clinic/Center
  • Columbia, SC
  • NPI 1306405857
  NPD tax ID

Locations

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1629870407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 WOODROW ST",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632831",
            "telephone_number": "803-638-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 WOODROW ST",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632831",
            "telephone_number": "803-764-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRMO KIDS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "803-764-2013"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irmo Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inspired Wellness, LLC (Angela S. Jackson)
• Integrity Therapy Services, LLC
• Irmo Counseling Services (Melinda Somerville)
• Irmo Drug Inc (Irmo Drug)
• Irmo Family Chiropractic, Inc
• Irmo Primary Eyecare LLC (Irmo Primary Eyecare)
• Everlena Isaac
• J&J Anesthesia, LLC
• Angela Jackson, LISW-CP
• Laurie Wilkie Jackson, MSP-CCC, SLP

• Dental Clinic/Center in Irmo, SC
• Providers in Irmo, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.