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

Charleston Youth Dentistry, LLC

Organization General Practice Dentistry · NPI 1215995501

Charleston Youth Dentistry, LLC provides General Practice Dentistry in North Charleston, South Carolina. Registered with an NPI since 2006.

In the registry since
2006
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

6035A Rivers Ave
North Charleston, SC 29406-4924 Not confirmed with CMS for 12 years — call before visiting
Phone: (843) 572-9909
Fax: (843) 572-9901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1215995501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenell Stump — Manager, Licensing & Credentialing · (615) 750-0343
NPI enumeratedMay 3, 2006
Last updated in NPPESJuly 9, 2014
Mailing address16 Arcade Unit 198747, Nashville, TN 37219-1994

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