BELLA VISTA DENTAL, LLC (NPI# 1659763167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659763167 |
Entity Type | Organization |
Organization Name | BELLA VISTA DENTAL, LLC |
Practice Address |
2498 N Pleasantburg Dr Suite C Greenville SC 29609-2730 |
Mailing Address |
Po Box 31625 Greenville SC 29608-1625 |
Practice Telephone | 8643862753 |
Mailing Telephone | 8643862753 |
Enumeration Date | 2015-02-21 |
Last Update Date | 2015-02-21 |
Authorized Official Name | DR. JOHN ALEXANDER KENNEDY JR. (PRESIDENT) |
Authorized Official Telephone | 8643862753 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
4377 | SC | Dental Providers |
Street Address |
2498 N PLEASANTBURG DR SUITE C |
City | GREENVILLE |
State | SC |
Zip Code | 29609-2730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780685040 | Christian Montagano | Emergency Medicine | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2005-08-09 |
1093322737 | Julia Nguyen Le | Physician Assistant | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2020-09-27 |
1649884115 | Stephanie Borum | Physician Assistant | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2020-09-02 |
1215488267 | Konig Pm, LLC | Anesthesiology | 2498 N Pleasantburg Dr, Suite E, Greenville, SC 29609-2730 | 2016-10-14 |
1104373166 | Emergencymd, LLC | Emergency Medicine | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2016-09-07 |
1932652328 | Konig Pm LLC | Anesthesiology | 2498 N Pleasantburg Dr, Suite E, Greenville, SC 29609-2730 | 2016-08-02 |
1255799961 | Primarymd | Family Medicine | 2498 N Pleasantburg Dr, Suite D, Greenville, SC 29609-2730 | 2016-02-09 |
1780067421 | David Griffin Whittington | Pharmacist | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2015-06-30 |
1720471618 | Emergency Physician Services | Clinic/Center | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2015-03-17 |
1538558390 | Charleston Rx LLC | Pharmacy | 2498 N Pleasantburg Dr, Suite A, Greenville, SC 29609-2730 | 2015-01-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326522376 | Piney Mountain Rx LLC | Pharmacy | 2498 North Pleasantburg Drive, Suite A, Greenville, SC 29609 | 2018-09-17 |
1417434655 | Kathryn Dorothy Muschick | Pediatrics | 900 W. Faris Dr., Greenville, SC 29609 | 2018-07-20 |
1942705645 | The Wright Home Care, LLC | Social Worker | 217 E Stone Ave Ste 8, Greenville, SC 29609 | 2018-03-26 |
1205388386 | Galina Hufstetler | Physical Therapist | 414 Summit Drive, Apt. 313, Greenville, SC 29609 | 2016-10-25 |
1811303225 | Cal Jones LLC | Pharmacy | 961 Montebello Dr, Suite 2, Greenville, SC 29609 | 2014-07-07 |
1982954319 | John C Shaughnessy | Pharmacist | 1141 State Park Road, Greenville, SC 29609 | 2012-09-13 |
1770842726 | Neil S Sondov | Counselor | 1100 Rutherford Road, Greenville, SC 29609 | 2012-05-11 |
1790044915 | Crystal Ervin | Counselor | 1 Chick Springs Rd Ste 210a, Greenville, SC 29609 | 2012-05-08 |
1881992840 | Cherrydale Dental Associates, LLC | Dentist | 105 State Park Rd, Greenville, SC 29609 | 2011-03-01 |
1649584483 | Paul E Waters | Pharmacist | 1 East Stone Ave, Greenville, SC 29609 | 2010-08-04 |
Find all providers in zip 29609 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578184347 | Emily Brooke Wheeler Maltba | Dentist | 1105b Allen Ridge Dr, Greenville, NC 27834-0083 | 2020-05-02 |
1952937369 | Palms Dentistry 226 LLC | Dentist | 25 Innovation Dr # 100, Greenville, SC 29607-5252 | 2020-03-17 |
1053945964 | Huggins Dental LLC | Dentist | 407 Duncan Chapel Rd Ste B, Greenville, SC 29617-8224 | 2020-02-29 |
1578105482 | Star Bright Onsite, LLC | Dentist | 6709 White Horse Rd, Greenville, SC 29611-2503 | 2019-10-11 |
1053966408 | Maria Isabel Baltar De Barros Rego | Dentist | 1609 W Arlington Blvd Ste 107, Greenville, NC 27834-5610 | 2019-08-02 |
1366000739 | Andrew Joseph O'keefe | Dentist | 5076 Us Highway 264 E, Greenville, NC 27834-5804 | 2019-05-31 |
1811459159 | Southern Oak Dental, LLC | Dentist | 101 Verdae Blvd Ste 201, Greenville, SC 29607-3832 | 2019-04-04 |
1154889798 | Zachary Fox | Dentist | 1106 Woodruff Rd Ste A, Greenville, SC 29607-4109 | 2019-03-02 |
1366908238 | Joshua Lovick | Dentist | 3912 E 10th St, Greenville, NC 27858-8798 | 2019-02-15 |
1114497963 | Family Dental Health of Halton Road, LLC | Dentist | 155 Halton Village Cir Ste A, Greenville, SC 29607-6825 | 2018-12-04 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 29609 |
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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.