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

Peninsula Cosmetic and Family Dentistry, Inc

Organization General Practice Dentistry · NPI 1932269404

Peninsula Cosmetic and Family Dentistry, Inc is a General Practice Dentistry in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
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

52 Courtenay Dr
Charleston, SC 29403-5707
Phone: (843) 722-1676
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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 3916 (SC)

Record details

NPI number1932269404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Wisner — President · (843) 722-1676
NPI enumeratedDecember 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address52 Courtenay Dr, Charleston, SC 29403-5707

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