OrganizationActive
Brent R. Humphrey DMD, P.A.
NPI 1316950843 · Pediatric Dentistry · Goose Creek, SC
Provider details
- NPI number
- 1316950843
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brent Humphrey, Owner(843) 797-2000
- License
- 2872 (SC)
Specialties & taxonomies
Dental Providers
Practice location
103 Springhall Dr
Goose Creek, SC 29445-5336
Phone: (843) 797-2000
Fax: (843) 797-8826
Approximate (ZIP-level) locationGet directions
Mailing address
103 Springhall Dr
Goose Creek, SC 29445-5336
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 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.