OrganizationActive
Tidal Creek Dental LLC
NPI 1568996585 · General Practice Dentistry · Mount Pleasant, SC
Tidal Creek Dental LLC is a General Practice Dentistry organization in Mount Pleasant, SC (NPI 1568996585).
Provider details
- NPI number
- 1568996585
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- George Gaillardetz, Owner(603) 321-9029
- License
- 8715 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1127 Queensborough Blvd
Suite 107
Mount Pleasant, SC 29464-5431
Phone: (603) 321-9029
Street-level locationGet directions
Mailing address
1127 Queensborough Blvd
Mount Pleasant, SC 29464-5431
Registry dates
- Enumerated
- 2017-04-17
- Last updated
- 2017-04-17
Frequently asked questions
- What is Tidal Creek Dental LLC's NPI number?
- Tidal Creek Dental LLC's National Provider Identifier (NPI) is 1568996585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidal Creek Dental LLC?
- Tidal Creek Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Tidal Creek Dental LLC located?
- Tidal Creek Dental LLC's practice location on file with NPPES is 1127 Queensborough Blvd, Mount Pleasant, SC 29464-5431.
- What is Tidal Creek Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidal Creek Dental LLC is (603) 321-9029.
- Who is the authorized official for Tidal Creek Dental LLC?
- The authorized official listed on Tidal Creek Dental LLC's NPPES record is George Gaillardetz, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidal Creek Dental LLC's NPI active?
- Yes — Tidal Creek Dental LLC's NPI (1568996585) is active in the NPPES registry as of the last update on 2017-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.