Active NPI
Abigail Renee Yoder, DDS
- General Practice Dentistry
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11195
- Practice address
- 1099 N Main St Ste 102
Summerville, SC 29483-7300 - Phone
- (843) 536-8577
- NPI assigned
- Jul 25, 2025
- Last updated
- Jul 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11195 | SC | Primary |
Addresses
Primary practice location
1099 N Main St Ste 102
Summerville, SC 29483-7300
Mailing address
51243 Leeward PT
Granger, IN 46530-4826
Phone (574) 286-7390
Other practice location 1
2830 US-52 Ste 360, Moncks Corner, SC 29461
Moncks Corner, SC 29461
Phone (843) 990-4715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11195 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summerville Smiles Dental Office, PC | General Practice | Current | Accepting new patients |
| Moncks Corner Dental Group, PC | General Practice | Past | Accepting new patients |
Locations
1099 N Main St
#102
Summerville, SC 29483
Phone (843) 536-8577
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Summerville, SC
- NPI 1972179307
-
dba Moncks Corner Dental Group
- General Practice Dentistry
- Moncks Corner, SC
- NPI 1902503832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1790667038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51243 LEEWARD PT",
"city": "GRANGER",
"state": "IN",
"postal_code": "465304826",
"telephone_number": "574-286-7390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 N MAIN ST STE 102",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294837300",
"telephone_number": "843-536-8577"
}
],
"practiceLocations": [
{
"address_1": "2830 US-52 Ste 360, Moncks Corner, SC 29461",
"address_purpose": "LOCATION",
"city": "Moncks Corner",
"state": "SC",
"postal_code": "29461",
"country_code": "US",
"telephone_number": "843-990-4715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YODER",
"first_name": "ABIGAIL",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-25",
"last_updated": "2025-07-25",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "11195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.