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

Goose Creek Family Dentistry LLC

Organization General Practice Dentistry · NPI 1508004268

Goose Creek Family Dentistry LLC is a General Practice Dentistry in Goose Creek, South Carolina. Licensed in South Carolina. Registered with an NPI since 2009.

Licensed in
SC
In the registry since
2009
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

122 S Goose Creek Blvd Ste A
Goose Creek, SC 29445-3136
Phone: (843) 764-3081
Fax: (843) 764-4977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1560 (SC)
General Practice Dentistry Taxonomy 1223G0001X · Licence 4369 (SC)

Record details

NPI number1508004268
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marshall Miller — Partner · (843) 764-3081
NPI enumeratedFebruary 3, 2009
Last updated in NPPESFebruary 3, 2009
Mailing address122 S Goose Creek Blvd, Suite A, Goose Creek, SC 29445-3136

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