MALLORY JO NYENHUIS (NPI# 1437503364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437503364 |
| Entity Type | Individual |
| Full Name | MALLORY JO NYENHUIS |
| Credential | D.D.S. |
| Practice Address |
3106 Reidville Rd Spartanburg SC 29301-5644 |
| Practice Telephone | 8645767464 |
| Mailing Telephone | 8645767464 |
| Mailing Fax Number | 8645769678 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8922 | SC | Dental Providers |
| Street Address |
3106 REIDVILLE RD |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29301-5644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1841757192 | Paladina Health, LLC | Family Medicine | Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 | 2019-02-22 |
| 1073021143 | Yamira Valentin-fuentes | Chiropractor | 210 Westgate Mall Dr, Suite 6, Spartanburg, SC 29301 | 2018-01-11 |
| 1124426382 | Shellie Smith | Social Worker | 101 Washington Place, Spartanburg, SC 29301 | 2014-12-19 |
| 1356751770 | Lindsey Marie Dillon | Counselor | 250 Dewey Ave., Spartanburg, SC 29301 | 2014-05-07 |
| 1568892461 | Lauren Campbell Heiser | Physical Therapist | 2660 Reidville Rd # 6&7, Spartanburg, SC 29301 | 2013-11-14 |
| 1871843227 | Amy L Roberts | Occupational Therapist | 355 Oak Grove Rd., Spartanburg, SC 29301 | 2012-09-13 |
| 1023384419 | Elizabeth B. Gurley | Pharmacist | 211 West Blackstock Rd, Spartanburg, SC 29301 | 2012-03-29 |
| 1649564063 | Brooke Webster Fuentes | Physician Assistant | 300 E Blackstock Road, Suite E, Spartanburg, SC 29301 | 2011-06-02 |
| 1487943023 | Margaret Elizabeth Wilson | Counselor | 100 Ezell St., Spartanburg, SC 29301 | 2011-04-05 |
| Find all providers in zip 29301 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891136404 | Savannah Jo Reynolds | Dentist | 1490 W O Ezell Blvd, Spartanburg, SC 29301-1553 | 2013-07-11 |
| 1710222021 | Brian D. Ray Dmd | Dentist | 1256 Boiling Springs Road, Spartanburg, SC 29303 | 2012-11-28 |
| 1356505200 | Holly W Wright | Dentist | 240 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2008-07-10 |
| 1083818587 | James Daniel Hill | Dentist | 301 N Pine St, Spartanburg, SC 29302-1600 | 2007-06-11 |
| 1053457960 | Lawrence Gary Miller Jr. | Dentist | 263 California Ave, Spartanburg, SC 29303-2271 | 2007-01-29 |
| 1710040043 | Brian D Ray | Dentist | 1256 Boiling Springs Rd, Spartanburg, SC 29303 | 2006-12-18 |
| 1447236351 | Kevin Lamont Williams | Dentist | 111 Westview Blvd, Spartanburg, SC 29306-4132 | 2005-12-22 |
| 1871101667 | Allen Timothy Lollis | Dentist | 631 N Church St, Spartanburg, SC 29303-3046 | 2020-07-17 |
| 1073174025 | Katherine Alexandra Pischke-thomas | Dentist | 2455 E Main St, Spartanburg, SC 29307-1415 | 2019-06-20 |
| 1104372085 | Charles S Bebko Dmd PC | Dentist | 1111 W O Ezell Blvd, Spartanburg, SC 29301-1655 | 2016-08-30 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29301 |
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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.