Healthcare Provider Details

I. General information

NPI: 1598611972
Provider Name (Legal Business Name): CAITLIN SAMPLAWSKI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 PALMETTO POINTE RD
MARION SC
29571-6721
US

IV. Provider business mailing address

141 PENN CIR
GALIVANTS FERRY SC
29544-8678
US

V. Phone/Fax

Practice location:
  • Phone: 843-248-4700
  • Fax:
Mailing address:
  • Phone: 920-382-8857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number1223D0001X
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: