Organization Active NPI

Trident Dental Specialty Partners

  • Periodontics
  • Charleston, SC
National Provider Identifier
1740646769
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2962 Issued in SC
Legal business name
TRIDENT DENTAL SPECIALTY PARTNERS
Practice address
6335 Dorchester Rd
Charleston, SC 29418-5103
Phone
(843) 552-2580
NPI assigned
Jan 6, 2016
Last updated
Jan 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Dr. Mark Yampolsky, DDS
Title
Partner
Phone
(843) 552-2580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 2962 SC Primary

Addresses

Primary practice location

6335 Dorchester Rd
Charleston, SC 29418-5103

Mailing address

6335 Dorchester Rd
Charleston, SC 29418-5103
Phone (843) 552-2580

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1740646769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6335 DORCHESTER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294185103",
            "telephone_number": "843-552-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 DORCHESTER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294185103",
            "telephone_number": "843-552-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT DENTAL SPECIALTY PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "YAMPOLSKY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-552-2580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "2962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.