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

Tidal Creek Dental LLC

Organization General Practice Dentistry · NPI 1568996585

Tidal Creek Dental LLC is a General Practice Dentistry in Mount Pleasant, South Carolina. Licensed in South Carolina. Registered with an NPI since 2017.

Licensed in
SC
In the registry since
2017
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

1127 Queensborough Blvd Ste 107
Mount Pleasant, SC 29464-5431
Phone: (603) 321-9029
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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 8715 (SC)

Record details

NPI number1568996585
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Gaillardetz — Owner · (603) 321-9029
NPI enumeratedApril 17, 2017
Last updated in NPPESApril 17, 2017
Mailing address1127 Queensborough Blvd, Suite 107, Mount Pleasant, SC 29464-5431

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