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Charleston Youth Dentistry, LLC

General Practice Dentistry in North Charleston, SC · enumerated 2006 · authorized official Jenell Stump, Manager, Licensing & Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215995501

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Registry record

Entity type Organization (Type 2)
Legal business name Charleston Youth Dentistry, LLC
Practice address 6035a Rivers Ave, North Charleston, SC, 29406
Phone (843) 572-9909
Fax (843) 572-9901
Enumeration date May 3, 2006
Last updated in NPPES Jul 9, 2014

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Jenell Stump
Title Manager, Licensing & Credentialing
Phone (615) 750-0343

Other identifiers

Identifier Type State Issuer
ZA9597 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Charleston Youth Dentistry, LLC?
NPPES lists Jenell Stump (Manager, Licensing & Credentialing) as the authorized official for this organization.
What is the NPI number for Charleston Youth Dentistry, LLC?
The NPI for Charleston Youth Dentistry, LLC is 1215995501, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-09.