John Polydorou, DMD, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9687 Issued in SC

Practice address

2080 Royle Rd Unit D
Summerville, SC 29486-1301

Phone

(843) 376-0993

NPI assigned

Oct 24, 2019

Last updated

Sep 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Palmetto Orthodontics & TMJ, PA

  dba Cox Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Goose Creek, SC
  • NPI 1982423331
  NPD
• Solomon Orthodontics LLC

  • General Practice Dentistry
  • Summerville, SC
  • NPI 1356284459
  NPD (past)

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1821631516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COLLEGE DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293036614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 ROYLE RD UNIT D",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294861301",
            "telephone_number": "843-376-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLYDOROU",
        "first_name": "JOHN",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8990",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "9687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Podoll, PA
• Erica C Polcari, PA-C
• Frank Gary Polizzi
• Anna Conner Polk, LPC
• Crystal Rose Polk, LISW-CP
• Daniel Poole, M.D.
• John Terry Poole III, D.M.D.
• Victoria Poole
• Poppins & Co LLC
• Keyonna Marie Porter, NP

• Orthodontics and Dentofacial Orthopedics Dentistry in Summerville, SC
• Providers in Summerville, SC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.