GREENVILLE PEDIATRIC DENTISTRY, P.A. (NPI# 1003022930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003022930 |
| Entity Type | Organization |
| Organization Name | GREENVILLE PEDIATRIC DENTISTRY, P.A. |
| Practice Address |
3101 Joe Ramsey Blvd E Suite 103a Greenville TX 75401-7716 |
| Practice Telephone | 9034540771 |
| Mailing Telephone | 9034540771 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHRYN ANN KREIDER (PRESIDENT) |
| Authorized Official Telephone | 9034540771 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
19282 | TX | Dental Providers |
| Street Address |
3101 JOE RAMSEY BLVD E SUITE 103A |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-7716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699208488 | Greenville Tiny Teeth Pllc | Dentist | 3206 I 30, Suite C, Greenville, TX 75402-7000 | 2017-04-07 |
| 1275780454 | Upstate Pediatric Dentistry, Pa | Dentist | 105-a Halton Road, Greenville, SC 29607-3507 | 2008-08-19 |
| 1558532028 | Pediatric Dental Specialists | Dentist | 1540 S Main St, Suite C, Greenville, MS 38701-7055 | 2008-03-12 |
| 1194805143 | Mary Whitaker Crockett | Dentist | 102 S Venture Dr, Greenville, SC 29615-3571 | 2006-10-16 |
| 1508956632 | April Dunlap Czarsty | Dentist | 1376 Cleveland St, Greenville, SC 29607-2435 | 2006-10-12 |
| 1518986496 | Jennifer L Garvey | Dentist | 100 Regent Park Ct, Greenville, SC 29607-6534 | 2006-07-19 |
| 1386689974 | William Neil Quinton | Dentist | 837 S Main St, Greenville, MS 38701-5871 | 2006-06-18 |
| 1902884984 | Pediatric Dentistry of Greenville,p.a. | Dentist | 410a Pelham Rd, Greenville, SC 29615-3502 | 2006-01-09 |
| 1790771871 | Glenn Robert Head | Dentist | 6 Pointe Cir, Greenville, SC 29615-3506 | 2005-09-23 |
| 1154824324 | Michael Benham Thompson | Dentist | 545 Verdae Blvd Ste A, Greenville, SC 29607-4021 | 2018-03-14 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
Please comment or provide details below to improve the information on GREENVILLE PEDIATRIC DENTISTRY, P.A..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.