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

Dr. Amanda Nicole Petrin, DMD

Individual provider General Practice Dentistry · NPI 1235865221

Dr. Amanda Nicole Petrin, DMD is a General Practice Dentistry in Moncks Corner, South Carolina. Licensed in Connecticut and South Carolina. Registered with an NPI since 2022.

Licensed in
CT, SC
In the registry since
2022
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2830 Hwy 52 Ste 360
Moncks Corner, SC 29461
Phone: (439) 904-7158
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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 DGD.10656 (SC)
General Practice Dentistry Taxonomy 1223G0001X · Licence 13534 (CT)

Record details

NPI number1235865221
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 1, 2022
Last updated in NPPESNovember 1, 2023
Certification dateOctober 31, 2023

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