Trident Dental Associates, LLC
NPI 1053083154 · Oral and Maxillofacial Surgery (Dentist) · Charleston, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Trident Dental Associates, LLC is a Oral and Maxillofacial Surgery (Dentist) organization in Charleston, SC (NPI 1053083154).
Provider details
- NPI number
- 1053083154
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- William Johnson, Group Vice President/Ao(615) 372-3375
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2021-09-28
- Last updated
- 2023-08-29
- Certified
- 2023-08-29
Frequently asked questions
- What is Trident Dental Associates, LLC's NPI number?
- Trident Dental Associates, LLC's National Provider Identifier (NPI) is 1053083154, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Trident Dental Associates, LLC?
- Trident Dental Associates, LLC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Trident Dental Associates, LLC located?
- Trident Dental Associates, LLC's practice location on file with NPPES is 9228 Medical Plaza Dr, Charleston, SC 29406-9125.
- What is Trident Dental Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Trident Dental Associates, LLC is (843) 574-5693.
- Does Trident Dental Associates, LLC accept Medicare?
- Trident Dental Associates, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Trident Dental Associates, LLC?
- The authorized official listed on Trident Dental Associates, LLC's NPPES record is William Johnson, Group Vice President/Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Trident Dental Associates, LLC's NPI active?
- Yes — Trident Dental Associates, LLC's NPI (1053083154) is active in the NPPES registry as of the last update on 2023-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.