TRIDENT DENTAL ASSOCIATES, LLC
NPI 1053083154
Dentist - Oral and Maxillofacial Surgery in Charleston, SC

NPI Status: Active since September 28, 2021

Contact Information

9228 MEDICAL PLAZA DR
CHARLESTON, SC
ZIP 29406
Phone: (843) 574-5693
Fax: (843) 764-4512

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  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery
  • Accepts Insurance

About TRIDENT DENTAL ASSOCIATES, LLC

This page provides the complete NPI Profile along with additional information for Trident Dental Associates, Llc, a provider established in Charleston, South Carolina operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1053083154 assigned on September 2021. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Trident Dental Associates, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is William Tederick Johnson (Group Vice President/ao)

NPI
1053083154
Provider Name
TRIDENT DENTAL ASSOCIATES, LLC
Entity Type
Organization
Location Address
9228 MEDICAL PLAZA DR CHARLESTON, SC 29406
Location Phone
(843) 574-5693
Location Fax
(843) 764-4512
Mailing Address
2000 HEALTH PARK DR BRENTWOOD, TN 37027
Mailing Phone
(615) 373-7406
Mailing Fax
(843) 764-4512
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2021
Last Update Date
08-29-2023
Code Navigator

A dentist like Trident Dental Associates, Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Catastrophic 1 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 39 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO
  • BlueExtend PPO HD Bronze 1 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM TEDERICK JOHNSON

Authorized Official Title
GROUP VICE PRESIDENT/AO
Authorized Official Phone
(615) 372-3375

Reviews for TRIDENT DENTAL ASSOCIATES, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053083154
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103086110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 0 + 8 + 6 + 1 + 1 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1053083154 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346534484 ROGER PATRICK SULLIVAN M.D.
Individual
Family Medicine9228 MEDICAL PLAZA DR DEPT FAMILY MEDICINE
CHARLESTON, SC 29406
(843) 876-7080
1124430624DR. BRADLEY ROBERT BERNARD M.D.
Individual
Family Medicine9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 572-8277
1972942134 SAMUEL ADAMS II D.O.
Individual
Family Medicine9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 572-8277
1275093031 DANIEL SLONE MD
Individual
Student in an Organized Health Care Education/Training Program9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 876-7080
1922458850 MICHAEL JOHN SOLOMON D.O.
Individual
Family Medicine9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 572-8277
1205285327DR. JOHN BURK M.D.
Individual
Family Medicine9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 792-2300
1538658836DR. STEPHEN PAUL WICKER DO
Individual
Student in an Organized Health Care Education/Training Program9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 876-7080
1356635957DR. MATTHEW J FRANZEN M.D.
Individual
Radiology (Vascular & Interventional Radiology)9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 876-7080
1467123299 BRITTNEY LYNN FITZGERALD PA-C
Individual
Physician Assistant9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 574-5693
1114342839 SARA FRANCES JASPER AGACNP-BC
Individual
Nurse Practitioner9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 574-5693
1861157950 KATHERINE MAHAN CARROLL PA-C
Individual
Physician Assistant9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 574-5693
1942773866 KIELY MCCREA ST. GERMAIN APRN
Individual
Nurse Practitioner9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 574-5693
1255763488MS. TIFFANY GARRIS WALL NP-C
Individual
Nurse Practitioner9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 574-5693
1366694218 DAVID MICHAEL NESKEY MD
Individual
Otolaryngology9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 574-5693
1518070135 JOSHUA HORNIG MD
Individual
Otolaryngology9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 574-5693
1689216269 HANNAH MARIE FELTNER PA-C
Individual
Physician Assistant9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 574-5693
1760942759DR. VIRGINIA ERIN MASHACK DO
Individual
Family Medicine9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 876-7080
1831751437 PETER MICHAEL HORWICH MD FRCSC
Individual
Otolaryngology9228 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
(843) 574-5696
1972205789 RODERICK FLEMING TOWNER
Individual
Student in an Organized Health Care Education/Training Program9228 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
(843) 847-5623
1255023883DR. SHIMRIT SHARAV MD
Individual
Otolaryngology9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 574-5693

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053083154, enumerated in the NPI registry as an "organization" on September 28, 2021

The provider is located at 9228 Medical Plaza Dr Charleston, Sc 29406 and the phone number is (843) 574-5693

This medical organization specializes in Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 28, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.