Organization
MUSC COLLEGE OF DENTAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BALLENTINE (ASSOCIATE ACADEMIC PROG DIRECTOR)
(843) 792-2441
Entity
Organization
Contact information
Practice address
29 BEE ST, CHARLESTON, SC 29425-0001
(843) 876-7645
Mailing address
PO BOX 737811, DALLAS, TX 75373-7811
(843) 876-7645
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
SC-3198
SC
Other
Enumeration date
05/15/2007
Last updated
11/20/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us