Caitlyn Johnson, DMD
Individual provider Active NPI Dentist · Fountain Inn, SC
NPI 1801580907 · NPPES record last updated Mar 17, 2026
Key facts
- NPI
- 1801580907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 10500 (SC)
- Practice address
- 1125 N Main St
Fountain Inn, SC 29644-1322 - Phone
- (904) 563-2491
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10500 | SC | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10500 | SC | Yes |
Addresses
Primary practice location
1125 N Main St
Fountain Inn, SC 29644-1322
Mailing address
4 Aldershot Way
Simpsonville, SC 29681-4375
Phone (904) 563-2491
Other providers in Fountain Inn, SC
- Imani Khya Hunt
- Nichole Montgomery Hunt
- Christopher Scott Hutto
- Minh Huynh-Duc
- Infinitely More Counseling, LLC
- Kimberly Johnson
- Sadie Juarez
- Lindsay G Kennedy
- Rachel Knight
- Jacquelyn M Knox
All providers in Fountain Inn, SC · Dentist 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 Mar 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.