# MELISSA CONNELL, DDS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** High Tide Pediatric Dentistry, Magnolia Pediatric Dentistry and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902667587
- **Authorized official:** DR. MELISSA CONNELL DDS (OWNER)
- **Authorized official phone:** (312) 848-2282

## Contact information

- **Practice address:** 5 MOTT ST, BLUFFTON, SC 29910-5215
- **Practice address phone:** (843) 227-3177
- **Practice address fax:** (843) 535-5925
- **Mailing address:** 5 MOTT ST, BLUFFTON, SC 29910-5215
- **Mailing address phone:** (843) 227-3177
- **Mailing address fax:** (843) 535-5925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2024
- **Last updated:** 07/10/2026