Healthcare Provider Details

I. General information

NPI: 1841125184
Provider Name (Legal Business Name): MCPHERSON DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 FARMFIELD AVE STE E
CHARLESTON SC
29407-7756
US

IV. Provider business mailing address

10 FARMFIELD AVE STE E
CHARLESTON SC
29407-7756
US

V. Phone/Fax

Practice location:
  • Phone: 843-556-7444
  • Fax:
Mailing address:
  • Phone:
  • 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: CAITLIN MCPHERSON
Title or Position: DENTIST
Credential: DMD
Phone: 843-789-0827