Matthew Richard Carlisle is a Indian Land, South Carolina based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Matthew Richard Carlisle is
8492 for Dentistry in South Carolina. His current practice location is
1028 Edgewater Corporate Pkwy, Indian Land. Patients can reach him at
803-389-0197.
Matthew Richard Carlisle is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Matthew Richard Carlisle speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Matthew Richard Carlisle |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1028 Edgewater Corporate Pkwy, Indian Land,
South Carolina, 29707 |
| Phone: | 803-389-0197 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1639586456 |
| NPI Enumeration Date: | 14 Jul, 2014 |
| NPI Last Update On: | 19 Nov, 2015 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew Richard Carlisle are as mentioned below.
| License Number | Specialization | State | Status | |
| 8492 | Dentistry | South Carolina | Primary | |
| #9830 | Dentistry | North Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Matthew Richard Carlisle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| ZX8492 | Medicaid | South Carolina | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1028 Edgewater Corporate Pkwy,
Indian Land, South Carolina |
| Zip: | 29707 |
| Phone Number: | 803-389-0197 |
Patients can reach Matthew Richard Carlisle at
1028 Edgewater Corporate Pkwy, Indian Land, South Carolina or can
call to book an appointment on 803-389-0197.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.