Ranked using 3,668 patient reviews and registry records for 5 local practices.
Quick answer
Our top ranked dental practice in Charleston, South Carolina is Dr. James Decker, DMD, rated 5.0 out of 5 across 760 public reviews. Other top choices include Charles Towne Family And Cosmetic Dentistry and Dr. Beth Ann Dillion, DMD. Charleston has a population of about 127,999, and the 5 strongest local practices are compared on this page.
Sorting the standout dental offices in Charleston, South Carolina from the rest takes real comparison, which is what this page is for. We combined patient review data with verified provider records so the ranking reflects both reputation and real credentials. Every practice below is a real, registered provider serving the Charleston area.
Across the 5 top practices we highlight in Charleston, patients can access general dentistry. The Charleston practices on this list average 19 years in practice, with Dr. James Decker, DMD among the most established at 20 years. Listed offices serve several parts of the city, including the 29412, 29407, 29401 ZIP areas. Together these practices hold 3,668 public Google reviews, led by Charles Towne Family And Cosmetic Dentistry with 1,238. The average rating across this Charleston list is 5.0 out of 5.
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General Dentistry
Provides general dentistry for Charleston families, a well established practice with 20 years of experience. Rated 5.0 out of 5 across 760 public Google reviews.
General Dentistry
General dentistry in Charleston, delivered by serving patients for 16 years. Rated 4.9 out of 5 across 1,238 public Google reviews.
General Dentistry
Provides general dentistry for Charleston families, a well established practice with 20 years of experience. Rated 5.0 out of 5 across 538 public Google reviews.
General Dentistry
Provides general dentistry for Charleston families, a well established practice with 20 years of experience. Rated 4.9 out of 5 across 727 public Google reviews.
General Dentistry
General dentistry in Charleston, delivered by a well established practice with 20 years of experience. Rated 5.0 out of 5 across 405 public Google reviews.
Ratings on this list run from 4.9 to 5.0, review counts from 405 to 1,238, and registry records from 16 to 20 years.
| Rank | Practice | Google rating | Reviews | Years on record | Services |
|---|---|---|---|---|---|
| #1 | Dr. James Decker, DMD | 5.0 | 760 | 20 | General Dentistry |
| #2 | Charles Towne Family And Cosmetic Dentistry | 4.9 | 1,238 | 16 | General Dentistry |
| #3 | Dr. Beth Ann Dillion, DMD | 5.0 | 538 | 20 | General Dentistry |
| #4 | Dr. Lisa Guerrino, DMD | 4.9 | 727 | 20 | General Dentistry |
| #5 | Dr. Reed David, DDS | 5.0 | 405 | 20 | General Dentistry |
We matched 5 of these 5 Charleston practices to the official US National Provider Identifier registry, and 5 carry a public Google rating. Details were last reviewed on August 27, 2026.
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The practices we list in Charleston, South Carolina average 5.0 stars. That matches the nearby cities shown here.
| City | Average rating | Practices ranked | Top pick |
|---|---|---|---|
| Charleston | 5.0 | 5 | Dr. James Decker, DMD |
| North Charleston | 5.0 | 5 | Dr. Lewis Cates, DMD |
| Mount Pleasant | 5.0 | 5 | Dr. Seaborn Thurman, DMD |
| Summerville | 5.0 | 5 | Dr. John Corella, DMD |
Teeth and gums need steady care, not just emergency fixes. General dentists in Charleston, South Carolina provide checkups, fillings, crowns, and preventive care for the whole family. They refer you to specialists such as orthodontists or oral surgeons when you need advanced work.
General Dentistry5 of 5 listed practices
General dentists are your first stop for everyday care: checkups, cleanings, fillings, crowns, and preventive advice. In Charleston, offered by Dr. James Decker, DMD, Charles Towne Family And Cosmetic Dentistry, Dr. Beth Ann Dillion, DMD and 2 more.
Curious about digital scans, laser treatment, or AI assisted X rays? Explore new dental technology and what to ask your Charleston dentist.
Rankings for Charleston, South Carolina come from one score per practice that blends reviews, credentials, experience, and online presence. Ads are labeled and kept apart from the list.
Read our full ranking methodologyLook at the track record
Among the 5 practices listed in Charleston, South Carolina, registry records show an average of 19 years in operation, and 5 have been on record for 15 years or more. Dr. James Decker, DMD has the longest record at 20 years. Newer offices can be excellent too, so read their reviews closely.
Read the reviews, not just the stars
The listed Charleston, South Carolina practices hold 3,668 public Google reviews between them, with an average rating of 5.0. A score backed by many reviews, like the 1,238 for Charles Towne Family And Cosmetic Dentistry, tells you more than a perfect rating from a handful of patients. Recent comments about staff and comfort are often the most telling.
Pick a practice that covers your needs
Every practice on this Charleston, South Carolina list focuses on general dentistry, so for specialist work such as braces or implants you may be referred to a specialist nearby. Ask about referrals on your first call.
Consider the commute
The practices here are spread across 4 ZIP codes (29412, 29407, 29401, and 29414). Check parking and opening hours before you book.
Try a cleaning first
A routine cleaning is a low stakes way to judge a Charleston, South Carolina office: how clean it is, how current the equipment looks, and how well the team listens.
Knowing what happens at a first visit in Charleston, South Carolina takes the nerves out of booking one. Most offices start with photos or X rays, a gum health check, and a conversation about any concerns you have. A good office will explain everything in plain language before anything is scheduled.
What you pay for dental care in Charleston, South Carolina comes down to the procedure and your coverage. Insurance tends to cover routine checkups well and only part of restorative or cosmetic work. Get a written estimate from your Charleston dentist before any major procedure.
A short list of questions saves time and money when choosing a dentist in Charleston, South Carolina.
Dr. James Decker, DMD holds the number 1 spot on our Charleston list, with a 5.0 star Google rating from 760 reviews. Charles Towne Family And Cosmetic Dentistry ranks second with a 4.9 rating.
Charles Towne Family And Cosmetic Dentistry has the most public Google reviews among the practices we list in Charleston, with 1,238. Across all 5 listed practices there are 3,668 reviews in total.
In Charleston, South Carolina, the 5 rated practices we list average 5.0 out of 5 on Google, and the highest rating is 5.0.
Of the practices we list, Dr. James Decker, DMD has the longest record in the national provider registry, at more than 20 years. The average across the list is 19 years.
The Charleston practices we list are in ZIP codes 29412, 29407, 29401, and 29414. The biggest cluster is in 29407, with 2 of the 5.
We scored 5 Charleston practices on patient reviews, review volume, registry verified credentials, years in practice, and online presence, then ranked them. Dr. James Decker, DMD came out on top.
Paid placements are allowed but always labeled, and they never move a practice up the organic Charleston, South Carolina list.
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