Jeffrey Craig Gourdine, D.M.D.
Individual provider Active NPI General Practice Dentistry · Seabrook, SC
NPI 1720045776 · NPPES record last updated Jun 16, 2026
Key facts
- NPI
- 1720045776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4022 (SC)
- Practice address
- 211 Paige Point Rd
Seabrook, SC 29940-2737 - Phone
- (843) 846-8148
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170117000630 | SC | Practitioner - Dentist | 6608158241 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort Jasper Hampton Comprehensive Health Services, Inc | Current |
Accepting new patients | |
| Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Current |
Accepting new patients | |
| Harold M. Rhodes, III, D.D.S. | General Practice | Past | Accepting new patients |
Locations
721 Okatie Hwy
Okatie, SC 29909
721 N Okatie Hwy
Ridgeland, SC 29936
Phone (843) 987-7492
721 N Okatie Hwy
#170
Ridgeland, SC 29936
211 Paige Point Rd
Seabrook, SC 29940
Phone (843) 322-1871
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EICIBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4022 | SC | Yes |
Addresses
Primary practice location
211 Paige Point Rd
Seabrook, SC 29940-2737
Mailing address
721 Okatie Hwy
Okatie, SC 29909-3963
Phone (843) 987-7400
Other practice location 1
1422 Bells Hwy
Walterboro, SC 29488-2516
Phone (843) 538-7330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZX4022 | Medicaid | SC |
Other providers in Seabrook, SC
- Lauren Bethlehem Bella
- Deborah Cordelia Burr
- Elan Chisolm
- Cordelia Paradise LLC
- Erin Duncan
- Olga Nicole Hamilton
- Barbara Laughlin Helms
- Low Country Behavior & Wellness Agents
- Shawn McCowan
- Joyce Denese Mills
All providers in Seabrook, SC · General Practice Dentistry in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.