Organization Active NPI

Melissa Connell, DDS

  • Pediatric Dentistry
  • Bluffton, SC
National Provider Identifier
1902667587
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MELISSA CONNELL, DDS
Practice address
5 Mott St
Bluffton, SC 29910-5215
Phone
(843) 227-3177
Fax
(843) 535-5925
NPI assigned
Jan 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Dr. Melissa Connell, DDSNPI 1659513950
Title
Owner
Phone
(312) 848-2282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

5 Mott St
Bluffton, SC 29910-5215

Mailing address

5 Mott St
Bluffton, SC 29910-5215
Phone (843) 227-3177

Other names 1

  • High Tide Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1615 N Wolcott Ave
Ste 1
Chicago, IL 60622
Phone (312) 281-4860

1615 N Wolcott Ave
Chicago, IL 60622
Phone (312) 281-4860

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1902667587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOTT ST",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105215",
            "telephone_number": "843-227-3177",
            "fax_number": "843-535-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOTT ST",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105215",
            "telephone_number": "843-227-3177",
            "fax_number": "843-535-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA CONNELL, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-848-2282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Tide Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.