OrganizationActive
Waccamaw Pediatric Dental Care, LLC
NPI 1225194558 · Pediatric Dentistry · Conway, SC
Waccamaw Pediatric Dental Care, LLC is a Pediatric Dentistry organization in Conway, SC (NPI 1225194558).
Provider details
- NPI number
- 1225194558
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Deirdre Williams, Pediatric Dentist(843) 347-5654
- License
- 3484 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
158 Waccamaw Medical Park Ct
Conway, SC 29526-8965
Phone: (843) 347-5654
Fax: (843) 347-3013
Street-level locationGet directions
Mailing address
158 Waccamaw Medical Park Ct
Conway, SC 29526-8965
Registry dates
- Enumerated
- 2006-12-29
- Last updated
- 2020-08-22
Frequently asked questions
- What is Waccamaw Pediatric Dental Care, LLC's NPI number?
- Waccamaw Pediatric Dental Care, LLC's National Provider Identifier (NPI) is 1225194558, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waccamaw Pediatric Dental Care, LLC?
- Waccamaw Pediatric Dental Care, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Waccamaw Pediatric Dental Care, LLC located?
- Waccamaw Pediatric Dental Care, LLC's practice location on file with NPPES is 158 Waccamaw Medical Park Ct, Conway, SC 29526-8965.
- What is Waccamaw Pediatric Dental Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Waccamaw Pediatric Dental Care, LLC is (843) 347-5654.
- Who is the authorized official for Waccamaw Pediatric Dental Care, LLC?
- The authorized official listed on Waccamaw Pediatric Dental Care, LLC's NPPES record is Deirdre Williams, Pediatric Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waccamaw Pediatric Dental Care, LLC's NPI active?
- Yes — Waccamaw Pediatric Dental Care, LLC's NPI (1225194558) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.