Active NPI
Grant Lonneman
- General Practice Dentistry
- Charleston, SC
National Provider Identifier
1932045143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11419
- Practice address
- 1859 Savage Rd
Charleston, SC 29407-4726 - Phone
- (843) 722-5733
- NPI assigned
- Apr 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 11419 | SC | Primary |
Addresses
Primary practice location
1859 Savage Rd
Charleston, SC 29407-4726
Mailing address
2146 Vespers Dr
Charleston, SC 29414-6240
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 |
|---|---|---|---|
| 11419 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1932045143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2146 VESPERS DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294146240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1859 SAVAGE RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074726",
"telephone_number": "843-722-5733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONNEMAN",
"first_name": "GRANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-28",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "11419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.