Organization Active NPI

The Dental Office at Fort Mill

  • General Practice Dentistry
  • Fort Mill, SC
National Provider Identifier
1932040540
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THE DENTAL OFFICE AT FORT MILL
Practice address
765 Crossroads PLZ
Fort Mill, SC 29708-8017
Phone
(803) 396-7833
NPI assigned
Apr 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Michael Schut, DMD
Title
Owner
Phone
(910) 969-9883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

765 Crossroads PLZ
Fort Mill, SC 29708-8017

Mailing address

765 Crossroads PLZ
Fort Mill, SC 29708-8017
Phone (803) 396-7833

National Provider Directory

National Provider Directory
Tax ID family
The Dental Office at Fort Mill2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

765 Crossroads Plz
Fort Mill, SC 29708
Phone (803) 396-7833

Practitioners & affiliated clinicians

Practitioners 2

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": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1932040540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 CROSSROADS PLZ",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088017",
            "telephone_number": "803-396-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 CROSSROADS PLZ",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088017",
            "telephone_number": "803-396-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL OFFICE AT FORT MILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "SCHUT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-969-9883",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.