Healthcare Provider Details

I. General information

NPI: 1942125091
Provider Name (Legal Business Name): ASHLEY RIVER ORTHODONTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 SAINT ANDREWS BLVD STE C
CHARLESTON SC
29407-7187
US

IV. Provider business mailing address

811 SAINT ANDREWS BLVD STE C
CHARLESTON SC
29407-7187
US

V. Phone/Fax

Practice location:
  • Phone: 843-822-4683
  • Fax:
Mailing address:
  • Phone: 843-410-3471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH MCKEE
Title or Position: ORTHODONTIST/OWNER
Credential: DMD
Phone: 843-822-4683