Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charleston Pediatric Dentistry, PA

Organization Pediatric Dentistry · NPI 1033238589

Charleston Pediatric Dentistry, PA is a Pediatric Dentistry in North Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9217 University Blvd Ste 1C
North Charleston, SC 29406-9147
Phone: (843) 797-5133
Fax: (843) 797-5865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2638-0358 SC (SC)

Record details

NPI number1033238589
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Bodiford — Office Manager · (843) 797-5133
NPI enumeratedMarch 28, 2007
Last updated in NPPESAugust 22, 2020
Mailing address9217 University Blvd Ste 1c, North Charleston, SC 29406-9147

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