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

Distinctive Dentistry

Organization General Practice Dentistry · NPI 1760664304

Distinctive Dentistry is a General Practice Dentistry in Irmo, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007

Practice location Address checks out

11107 Broad River Rd Ste D
Irmo, SC 29063-7602
Phone: (803) 749-3980
Fax: (803) 749-3981
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4114 (SC)

Record details

NPI number1760664304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Cunningham — Owner · (803) 917-6962
NPI enumeratedDecember 5, 2007
Last updated in NPPESDecember 5, 2007
Mailing address11107 Broad River Rd, Suite D, Irmo, SC 29063-7602

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