DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. (NPI# 1811406895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811406895 |
Entity Type | Organization |
Organization Name | DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. |
Other Organization Name | FAMILY DENTISTRY AT RIVERSIDE CROSSING |
Practice Address |
789 Hammett Bridge Rd Greer SC 29650-2509 |
Practice Telephone | (864) 469-4598 |
Mailing Telephone | 8644694598 |
Enumeration Date | 2017-09-22 |
Last Update Date | 2017-09-22 |
Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
Authorized Official Telephone | 2175408426 |
Is Organization Subpart | Y |
Parent Organization Name | DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Other Name | Type Code |
---|---|
Family Dentistry at Riverside Crossing | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
1023627619 | Dental Professional of South Carolina, P.C. | Dentist | 702 Hopewell Dr, Charleston, SC 29492-7102 | 2020-07-29 |
1619517463 | Dental Professional of South Carolina, P.C. | Dentist | 1135 Muhlenbergia Dr, Mt Pleasant, SC 29466-7586 | 2020-01-09 |
1104467224 | Dental Professional of South Carolina, P.C. | Dentist | 2749 Agnes Ln, Myrtle Beach, SC 29577-2029 | 2019-09-30 |
1578034369 | Dental Professional of South Carolina, P.C. | Dentist | 2373 Len Patterson Rd Ste 103, Fort Mill, SC 29708-8266 | 2018-12-06 |
1972073831 | Dental Professional of South Carolina, P.C. | Dentist | 2800 Woodruff Rd, Simpsonville, SC 29681-4806 | 2018-12-04 |
1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
1326532268 | Dental Professional of South Carolina, P.C. | Dentist | 7748 Charlotte Hwy, Indian Land, SC 29707-9654 | 2018-06-14 |
1700375508 | Dental Professional of South Carolina, P.C. | Dentist | 370 Buckwalter Pkwy, Bluffton, SC 29910-5151 | 2018-05-07 |
1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
Street Address |
789 HAMMETT BRIDGE RD |
City | GREER |
State | SC |
Zip Code | 29650-2509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700444254 | Sergey Zakharov | Dentist | 789 Hammett Bridge Rd, Greer, SC 29650-2509 | 2019-05-30 |
1497231880 | Brandon Paul Schmidt | Dentist | 789 Hammett Bridge Rd, Greer, SC 29650-2509 | 2018-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
Find all providers in zip 29650 |
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 |
---|---|---|---|---|
1447857289 | Rick & Pamela Dhillon Dmd - Sda LLC | Dentist | 3115a Brushy Creek Rd, Greer, SC 29650-0903 | 2020-10-05 |
1417310830 | Family Dental Health of Greer, LLC | Dentist | 1200 W Wade Hampton Blvd, Greer, SC 29650-1243 | 2016-04-02 |
1962808980 | Progrin Dental of Greenville | Dentist | 201 Old Boiling Springs Rd Ste A, Greer, SC 29650-4257 | 2014-11-18 |
1386071181 | Dental Professionals of Sc, PC | Dentist | 1494 West Wade Hampton Blvd, Suite D, Greer, SC 29650-1129 | 2013-10-11 |
1447692231 | Allison Poole Caldwell | Dentist | 920 S Batesville Rd, Greer, SC 29650-4524 | 2013-07-23 |
1700125648 | Benjamin David Drechsler | Dentist | 1109 W Poinsett St, Suite A, Greer, SC 29650-1318 | 2013-02-13 |
1033404132 | Peter A Mcpherson | Dentist | 2430 Hudson Rd, Greer, SC 29650-2923 | 2011-06-16 |
1235451352 | Mountainview Dentistry | Dentist | 119 Village Drive, Greer, SC 29651 | 2010-02-16 |
1356542583 | James Keith Bagwell | Dentist | 1275 S Suber Rd, Greer, SC 29650-0940 | 2007-05-28 |
1275740193 | Pamela B Dhillon | Dentist | 3115 A Brushy Creek Road, Greer, SC 29651 | 2007-05-17 |
Find all providers in GREER |
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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.