MEDICARE: SHEM CREEK DENTAL ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	8323	SC

General Provider Information

NPI Number	:	1134598980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHEM CREEK DENTAL ASSOCIATES

Provider Business Mailing Address
First Line	:	211 SIMMONS ST
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-4347
Country	:	US
Telephone Number	:	843-884-5161
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 SIMMONS ST
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-4347
Country	:	US
Telephone Number	:	843-884-5161
Fax Number	:

Authorized Official
Title or Position	:	DMD
Name	:	DR. ROBERT ALAN BREAULT
Credential	:
Telephone Number	:	843-884-5161

Provider Enumeration Date	:	09/23/2015
Last Update Date	:	09/23/2015

Similar Medicare Providers

1912074634 — DR. ROBERT JACKSON MORRIS DMD
Practice Location Address:

211 SIMMONS ST
MT PLEASANT, SC
29464-4347

Practice Phone: 843-884-5161
Practice Fax: 843-884-6585

1497962948 — CAROLINE ILDERTON M.A., LPC
Practice Location Address:

209 SIMMONS ST
MT PLEASANT, SC
29464-4347

Practice Phone: 843-881-9500
Practice Fax:

1376909531 — LISA LARKINS
Practice Location Address:

207 SIMMONS ST
MOUNT PLEASANT, SC
29464-4347

Practice Phone: 843-642-8882
Practice Fax:

1558802439 — KAREN LYNN TARPEY LLC
Practice Location Address:

209 SIMMONS ST
MOUNT PLEASANT, SC
29464-4347

Practice Phone: 843-478-0690
Practice Fax: 843-881-5548

1073166708 — KAREN LEWIS LPCA
Practice Location Address:

207 SIMMONS ST
MOUNT PLEASANT, SC
29464-4347

Practice Phone: 843-714-5260
Practice Fax:

1992593784 — JENNIFER MICHAELS PRE-LCP
Practice Location Address:

207 SIMMONS ST
MT PLEASANT, SC
29464-4347

Practice Phone: 843-514-2848
Practice Fax:

Directions to “SHEM CREEK DENTAL ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.