Healthcare Provider Details

I. General information

NPI: 1700363595
Provider Name (Legal Business Name): REGINA K HELTON DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2018
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 HERLONG AVE S STE 102
ROCK HILL SC
29732-1159
US

IV. Provider business mailing address

227 HERLONG AVE S STE 102
ROCK HILL SC
29732-1159
US

V. Phone/Fax

Practice location:
  • Phone: 803-324-2921
  • Fax:
Mailing address:
  • Phone: 803-324-2921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number11155
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number9308
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: