OrganizationActive
114 Kershaw Dental, PC
NPI 1043699713 · General Practice Dentistry · Kershaw, SC
114 Kershaw Dental, PC is a General Practice Dentistry organization in Kershaw, SC (NPI 1043699713).
Provider details
- NPI number
- 1043699713
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Matthew Cook, Owner(803) 479-1795
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
114 E Hilton St
Kershaw, SC 29067-1318
Phone: (803) 475-6052
Street-level locationGet directions
Mailing address
Po Box 330
Edgefield, SC 29824-0330
Registry dates
- Enumerated
- 2015-05-27
- Last updated
- 2015-05-27
Frequently asked questions
- What is 114 Kershaw Dental, PC's NPI number?
- 114 Kershaw Dental, PC's National Provider Identifier (NPI) is 1043699713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 114 Kershaw Dental, PC?
- 114 Kershaw Dental, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is 114 Kershaw Dental, PC located?
- 114 Kershaw Dental, PC's practice location on file with NPPES is 114 E Hilton St, Kershaw, SC 29067-1318.
- What is 114 Kershaw Dental, PC's phone number?
- The practice phone number listed in the NPPES registry for 114 Kershaw Dental, PC is (803) 475-6052.
- Who is the authorized official for 114 Kershaw Dental, PC?
- The authorized official listed on 114 Kershaw Dental, PC's NPPES record is Matthew Cook, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 114 Kershaw Dental, PC's NPI active?
- Yes — 114 Kershaw Dental, PC's NPI (1043699713) is active in the NPPES registry as of the last update on 2015-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.