MEDICARE: MCPHERSON DENTAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1841125184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCPHERSON DENTAL LLC

Provider Business Mailing Address
First Line	:	10 FARMFIELD AVE STE E
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-7756
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 FARMFIELD AVE STE E
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-7756
Country	:	US
Telephone Number	:	843-556-7444
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	CAITLIN MCPHERSON
Credential	:	DMD
Telephone Number	:	843-789-0827

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “MCPHERSON DENTAL LLC ” Practice Location

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