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

Jason Lee Latham, DMD

Individual provider Dentist · NPI 1083103576

Jason Lee Latham, DMD is a Dentist in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in
SC
In the registry since
2018
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

712 Saint Andrews Blvd
Charleston, SC 29407
Phone: (843) 571-5533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 8643 (SC)

Record details

NPI number1083103576
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 9, 2018
Last updated in NPPESMay 15, 2018

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