Jack Condrey, DMD
NPI 1407875289 · General Practice Dentistry · Charleston, SC
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Condrey, DMD is a General Practice Dentistry provider in Charleston, SC (NPI 1407875289).
Provider details
- NPI number
- 1407875289
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2785 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2007-07-09
Frequently asked questions
- What is Jack Condrey's NPI number?
- Jack Condrey's National Provider Identifier (NPI) is 1407875289, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Condrey's specialty?
- Jack Condrey is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jack Condrey located?
- Jack Condrey's practice location on file with NPPES is 5306 Parkshire Way, Charleston, SC 29418-2000.
- What is Jack Condrey's phone number?
- The practice phone number listed in the NPPES registry for Jack Condrey is (843) 552-1600.
- Does Jack Condrey accept Medicare?
- Jack Condrey is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Condrey's NPI active?
- Yes — Jack Condrey's NPI (1407875289) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.