# PALMETTO CREATIVE DENTISTRY OF MT. PLEASANT LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811694110
- **Authorized official:** SHAWN CONLEY EDWARDS DMD (OWNER/DENTIST)
- **Authorized official phone:** (864) 859-0111

## Contact information

- **Practice address:** 1951 CLEMENTS FERRY RD STE 201, CHARLESTON, SC 29492-8325
- **Practice address phone:** (843) 471-1677
- **Practice address fax:** (843) 471-1685
- **Mailing address:** 415 S PENDLETON ST, EASLEY, SC 29640-3051
- **Mailing address phone:** (864) 859-0111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/08/2023
- **Last updated:** 02/08/2023