| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1053083154 | TRIDENT DENTAL ASSOCIATES, LLC | PO BOX 746689 | ATLANTA | GA | 303746689 | |||
| 1518070135 | HORNIG | JOSHUA | 9228 MEDICAL PLAZA DR | CHARLESTON | SC | 294069125 | ||
| 1114342839 | JASPER | SARA | FRANCES | 9228 MEDICAL PLAZA DR | CHARLESTON | SC | 294069125 | |
| 1366694218 | NESKEY | DAVID | MICHAEL | 9228 MEDICAL PLAZA DR | CHARLESTON | SC | 294069125 | |
| 1942773866 | ST. GERMAIN | KIELY | MCCREA | 9228 MEDICAL PLAZA DR | CHARLESTON | SC | 294069125 | |
| 1255763488 | WALL | TIFFANY | GARRIS | 9228 MEDICAL PLAZA DR | CHARLESTON | SC | 294069125 |