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Ladys Island Denal Clinic

Dentist in Beaufort, SC · enumerated 2007 · authorized official Tristan Greenwalt, Dentist.

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

National Provider Identifier

1386761955

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Registry record

Entity type Organization (Type 2)
Legal business name Ladys Island Denal Clinic
Practice address 5 Professional Village Cir, Beaufort, SC, 29907
Phone (843) 521-0808
Fax (843) 521-0945
Enumeration date Mar 26, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

122300000X Dentist Dental Providers · License 3760 (SC) Primary

Authorized official

Name Tristan Greenwalt
Title Dentist
Phone (843) 521-0808

Other identifiers

Identifier Type State Issuer
923437 Other SC UNITED CONCORDIA
ZX3760 Medicaid SC -
ZX3797 Medicaid SC -
ZA9682 Medicaid SC -
970484 Other SC UNITED CONCORDIA

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

What type of organization is Ladys Island Denal Clinic?
Ladys Island Denal Clinic is registered in NPPES as a Dentist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.