ASHBY PARK PEDIATRIC DENTISTRY EASLEY (NPI# 1417309451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417309451 |
| Entity Type | Organization |
| Organization Name | ASHBY PARK PEDIATRIC DENTISTRY EASLEY |
| Practice Address |
708 North A Street Easley SC 29640 |
| Practice Telephone | 8646057741 |
| Mailing Telephone | 8646057741 |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |
| Authorized Official Name | JENNIFER GARVEY (PARTNER/OWNER) |
| Authorized Official Telephone | 8642343424 |
| Is Organization Subpart | Y |
| Parent Organization Name | ASHBY PARK PEDIATRIC DENTISTRY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3638 | SC | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3638 | SC | Dental Providers |
| Street Address |
708 NORTH A STREET |
| City | EASLEY |
| State | SC |
| Zip Code | 29640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
| 1538593017 | Baptist Easley Hospital | Clinic/Center | 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 | 2013-09-03 |
| 1942507173 | Joanne Mason Wilkinson | Occupational Therapist | 1807a East Main St, Easley, SC 29640 | 2011-02-24 |
| 1861793911 | Ark Pharmacy Services LLC | Pharmacy | 5119- A Calhoun Memorial Hwy, Easley, SC 29640 | 2010-11-05 |
| 1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
| 1508030503 | Jean Claire Palmour | Massage Therapist | 404 South Fifth Street, Jj & Company Salon & Spa, Easley, SC 29640 | 2008-04-22 |
| 1760685143 | Cannon Memorial Hospital | Family Medicine | 111 W. Roper Rd., Easley, SC 29640 | 2007-06-06 |
| 1942419171 | William Kent Hammond | Dentist | 298 Enterprise Dr, Easley, SC 29640 | 2007-05-22 |
| 1265645352 | Palmetto Health | Family Medicine | 104 Fleetwood Drive, Easley, SC 29640 | 2007-05-07 |
| Find all providers in zip 29640 | ||||
| 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 |
|---|---|---|---|---|
| 1194181297 | Holly Tree Family Dental | Dentist | 1673 E Main St, Easley, SC 29640-3791 | 2016-01-06 |
| 1609282425 | Rula Mahmoud Shalabi | Dentist | 1673 E Main St Unit B, Easley, SC 29640-3791 | 2014-07-02 |
| 1699965418 | Melanie Richards | Dentist | 10705 Anderson Rd, Easley, SC 29642-9309 | 2007-07-27 |
| 1417965922 | Powdersville Pediatric Dentistry, Pa | Dentist | 10705 Anderson Road, Easley, SC 29642 | 2006-08-03 |
| 1649832510 | Igrin Children's Dentistry of Powdersville, LLC | Dentist | 10705 Anderson Rd, Easley, SC 29642-8298 | 2019-07-01 |
| 1174082713 | Indigo Pediatric Dentistry | Dentist | 1673 E Main St Unit B, Easley, SC 29640-3791 | 2019-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598493 | Pleasant Mill Pediatric Dentistry | Dentist | 1690 Highway 160 W Ste A, Fort Mill, SC 29708-8024 | 2020-11-02 |
| 1124635495 | Destination Dental of Duncan LLC | Dentist | 155 Deacon Tiller Ct, Duncan, SC 29334-8880 | 2020-09-30 |
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1811519507 | Stephanie Silva Dmd, LLC | Dentist | 133 Allen Court, North Augusta, SC 29860 | 2020-05-15 |
| 1235776568 | Tribe Dental LLC | Dentist | 11 Magnolia Cove Dr, Simpsonville, SC 29680 | 2019-12-05 |
| 1457994196 | Sfd Mt. Pleasant LLC | Dentist | 3102 N Highway 17, Mount Pleasant, SC 29466-6925 | 2019-10-25 |
| 1073162053 | Southern Charm Pediatric Dentistry | Dentist | 2021 Bridgemill Rd., Suite 108, Indian Land, SC 29707-2817 | 2019-09-11 |
| 1649825969 | Oak Landing Pediatric Dentistry, LLC | Dentist | 2001 2nd Ave Ste 102, Summerville, SC 29486-7887 | 2019-08-04 |
| 1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
| 1588130942 | Dentistry for Children of South Carolina PC | Dentist | 1701 Beaucastel Rd Ste A, Mount Pleasant, SC 29464-3685 | 2018-10-23 |
| Find all providers with the same taxonomy | ||||
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| 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.