CHERRYDALE DENTAL ASSOCIATES, LLC (NPI# 1881992840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881992840 |
| Entity Type | Organization |
| Organization Name | CHERRYDALE DENTAL ASSOCIATES, LLC |
| Practice Address |
105 State Park Rd Greenville SC 29609 |
| Practice Telephone | 8642711156 |
| Practice Fax Number | 8642718951 |
| Mailing Telephone | 8642711156 |
| Mailing Fax Number | 8642718951 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2013-08-06 |
| Authorized Official Name | MISS ANGELA CAROL BAKER (OPERATIONS MANAGER) |
| Authorized Official Telephone | 8643253243 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
105 STATE PARK RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619350790 | Phillip M Goodman | Dentist | 105 State Park Rd, Greenville, SC 29609-2914 | 2015-07-07 |
| 1164830808 | Foster Orthodontics | Dentist | 105 State Park Rd, Greenville, SC 29609-2914 | 2014-07-25 |
| 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 |
| 1649584483 | Paul E Waters | Pharmacist | 1 East Stone Ave, Greenville, SC 29609 | 2010-08-04 |
| 1932422078 | Gateway House, Inc | Community/Behavioral Health | 423 Croft Street, Greenville, SC 29609 | 2010-03-03 |
| 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 |
Please comment or provide details below to improve the information on CHERRYDALE DENTAL ASSOCIATES, LLC.
| 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.