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

Medicaid Dental Practice of Easley, SC, Inc

Organization General Practice Dentistry · NPI 1932399862

Medicaid Dental Practice of Easley, SC, Inc is a General Practice Dentistry in Easley, 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?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

807 S Pendleton St
Easley, SC 29640-3527
Phone: (864) 855-6530
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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 3944 (SC)

Record details

NPI number1932399862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawn Edwards — President · (864) 859-0111
NPI enumeratedJuly 26, 2007
Last updated in NPPESJuly 26, 2007
Mailing address415 S Pendleton St, Easley, SC 29640-3072

Other providers in Easley