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Azalea Dental LLC

General Practice Dentistry in Summerville, SC · enumerated 2007 · authorized official Thomas Riley, Dentist and Owner.

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

National Provider Identifier

1568678407

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Registry record

Entity type Organization (Type 2)
Legal business name Azalea Dental LLC
Practice address 310 N Gum St Ste B, Summerville, SC, 29483
Fax (843) 216-9756
Enumeration date May 15, 2007
Last updated in NPPES Jul 17, 2007

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 3580 (SC) Primary

Authorized official

Name Thomas Riley
Title Dentist and Owner

Other identifiers

Identifier Type State Issuer
ZX03580 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-07-17. Verify at npiregistry.cms.hhs.gov.
Where is Azalea Dental LLC located?
The practice location on file with NPPES is in Summerville, SC.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-17.