DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GREENVILLE PEDIATRIC DENTISTRY PA

MEDICARE: GREENVILLE PEDIATRIC DENTISTRY PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366522922
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREENVILLE PEDIATRIC DENTISTRY PA
Provider Business Mailing Address
First Line : 1376 CLEVELAND ST
Second Line :
City : GREENVILLE
State : SC
Zip : 29607-2435
Country : US
Telephone Number : 864-250-1100
Fax Number : 864-250-1604
Provider Business Practice Location Address
First Line : 1376 CLEVELAND ST
Second Line :
City : GREENVILLE
State : SC
Zip : 29607-2435
Country : US
Telephone Number : 864-250-1100
Fax Number : 864-250-1604
Authorized Official
Title or Position : INSURANCE CLAIMS MANAGER
Name : MRS. TAMMY KNIGHT PORTER
Credential :
Telephone Number : 864-250-1100
Provider Enumeration Date : 10/17/2006
Last Update Date : 06/10/2010

Similar Medicare Providers

1508956632 — DR. APRIL DUNLAP CZARSTY DMD
Practice Location Address:
1376 CLEVELAND ST
GREENVILLE, SC
29607-2435
Practice Phone: 864-250-1100
Practice Fax:
1619057221 — DR. KRISTEN KONETZNI UPRICHARD D.M.D
Practice Location Address:
1376 CLEVELAND ST
GREENVILLE, SC
29607-2435
Practice Phone: 864-250-1100
Practice Fax: 864-250-1604
1164503710 — DR. GORDON WARREN BRAY JR. D.M.D
Practice Location Address:
1376 CLEVELAND ST
GREENVILLE, SC
29607-2435
Practice Phone: 864-250-1100
Practice Fax: 864-250-1604
1598848061 — DR. ROBIN D WILSON D.M.D
Practice Location Address:
1376 CLEVELAND ST
GREENVILLE, SC
29607-2435
Practice Phone: 864-250-1100
Practice Fax: 864-250-1604
1457488579 — MR. DONALD L HERNDON DMD
Practice Location Address:
1376A CLEVELAND ST
GREENVILLE, SC
29607-2435
Practice Phone: 864-250-1500
Practice Fax: 864-250-1502
1154824324 — MICHAEL BENHAM THOMPSON
Practice Location Address:
1376 CLEVELAND ST
GREENVILLE, SC
29607-2435
Practice Phone: 864-250-1100
Practice Fax:

Directions to “GREENVILLE PEDIATRIC DENTISTRY PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.