Justin S Vanderpool, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9386 Issued in SC

Practice address

10911 N Jacob Smart Blvd Ste C
Ridgeland, SC 29936-2728

Phone

(843) 898-6800

NPI assigned

Jun 3, 2019

Last updated

Jun 16, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Vanderpool Family Dentistry

  • Dental Clinic/Center
  • Ridgeland, SC
  • NPI 1730075854
  NPD Authorized official
• Palmetto Smiles of Beaufort LLC

  • General Practice Dentistry
  • Beaufort, SC
  • NPI 1821274598
  NPD (past)

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1952969131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 KEMMERLIN LN",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072709",
            "telephone_number": "843-524-7645",
            "fax_number": "843-524-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10911 N JACOB SMART BLVD STE C",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299362728",
            "telephone_number": "843-898-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPOOL",
        "first_name": "JUSTIN",
        "middle_name": "S",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Etheridge, MD, PC
• William B Turner, LDO
• Catherine Deanna Turtola
• Robert Scott Vaigneur, PTA
• Vanderpool Family Dentistry
• Victress Healthcare Staffing Solutions
• Chatchaval Vuthiganon, MD
• Jantana Vuthiganon, MD
• Walgreen Co (Walgreens #17239)
• Bessie M Washington

• General Practice Dentistry in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.