Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Goose Creek Family Dentistry LLC

Organization General Practice Dentistry · NPI 1508004268

Goose Creek Family Dentistry LLC provides General Practice Dentistry in Goose Creek, South Carolina. Licensed in South Carolina. Registered with an NPI since 2009.

Licensed in
SC
In the registry since
2009
Specialties on file
2
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

122 S Goose Creek Blvd Ste A
Goose Creek, SC 29445-3136 Not confirmed with CMS for 17 years — call before visiting
Phone: (843) 764-3081
Fax: (843) 764-4977
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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 1560 (SC)
General Practice Dentistry Taxonomy 1223G0001X · Licence 4369 (SC)

Record details

NPI number1508004268
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marshall Miller — Partner · (843) 764-3081
NPI enumeratedFebruary 3, 2009
Last updated in NPPESFebruary 3, 2009
Mailing address122 S Goose Creek Blvd, Suite A, Goose Creek, SC 29445-3136

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