Healthcare Provider Details

I. General information

NPI: 1831023993
Provider Name (Legal Business Name): GILES FAMILY DENTISTRY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 RUTLEDGE ST
CAMDEN SC
29020-4423
US

IV. Provider business mailing address

400 RUTLEDGE ST
CAMDEN SC
29020-4423
US

V. Phone/Fax

Practice location:
  • Phone: 803-425-1157
  • Fax:
Mailing address:
  • Phone: 803-425-1157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: EDNA LAZETTA GILES-WILLIAMS
Title or Position: DENTAL DIRECTOR
Credential: DMD
Phone: 803-467-4529