CLASSIC DENTAL GROUP (NPI# 1902458474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902458474 |
| Entity Type | Organization |
| Organization Name | CLASSIC DENTAL GROUP |
| Practice Address |
6a Cleveland Ct Greenville SC 29607-2414 |
| Practice Telephone | 8642830141 |
| Mailing Telephone | 8642830141 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | TYRESIA J WHITE (PERIODONTIST) |
| Authorized Official Telephone | 8642830141 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
6A CLEVELAND CT |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003965369 | John Layton Glymph Jr. | Dentist | 6a Cleveland Ct, Greenville, SC 29607 | 2007-01-09 |
| 1508085366 | Dondre Cortez Simpson | Dentist | 6a Cleveland Ct, Greenville, SC 29607-2414 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
| 1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
| Find all providers in zip 29607 | ||||
| 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 |
|---|---|---|---|---|
| 1730734849 | Powdersville Smiles Dentistry, PC | Dentist | 3639 Highway 153, Greenville, SC 29611-7516 | 2019-08-06 |
| 1205313939 | Meenakshi Yadav | Dentist | 126 Awendaw Way, Greenville, SC 29607-5570 | 2018-07-25 |
| 1053813873 | Angelika Estefania Batres Navarro | Dentist | 6134 White Horse Rd Ste C, Greenville, SC 29611 | 2018-03-07 |
| 1043728975 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 3103 I-30 Frontage Rd, Greenville, TX 75402 | 2018-01-12 |
| 1407394430 | Harriet Kilgore Scully | Dentist | 1504 Parkins Mill Rd, Greenville, SC 29607-3641 | 2017-02-10 |
| 1144772500 | Greenville Dental Sleep Medicine, LLC | Dentist | 1352 Cleveland St, A, Greenville, SC 29607-2437 | 2016-11-01 |
| 1558815209 | Bradley Worner | Dentist | 4 Market Point Dr, Greenville, SC 29607-6557 | 2016-08-11 |
| 1114379898 | Natasja Bevans | Dentist | 109 Augusta St, Greenville, SC 29601-3503 | 2016-07-06 |
| 1407236847 | Kyle Given | Dentist | 109 Greenville Blvd Se Ste 108, Greenville, NC 27858-5729 | 2015-06-01 |
| 1255723169 | Virginia Hall | Dentist | 4250 Joe Ramsey Blvd E, Greenville, TX 75401-7851 | 2015-03-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29607 |
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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.