COMPREHENSIVE AND COSMETIC DENTAL STUDIO OF GREENVILLE (NPI# 1164952842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164952842 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE AND COSMETIC DENTAL STUDIO OF GREENVILLE |
| Practice Address |
644 N Main St Ste 111 Greenville SC 29601-1678 |
| Practice Telephone | (864) 520-2942 |
| Mailing Telephone | 8645202942 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Authorized Official Name | DR. ANDREW BRIAN BULLARD (PRESIDENT) |
| Authorized Official Telephone | 8649074684 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
3674 | SC | Ambulatory Health Care Facilities |
| Street Address |
644 N MAIN ST STE 111 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29601-1678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043616352 | Andrew Brian Bullard | Dentist | 644 N Main St Ste 111, Greenville, SC 29601-1678 | 2014-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700305620 | True Sleep Diagnostics | Clinic/Center | 220 North Main St Ste 500, Pmb 104, Greenville, SC 29601 | 2017-09-12 |
| 1245786813 | Yvette Ombougno | Registered Nurse | 200 University Ridge, Greenville, SC 29601 | 2016-09-01 |
| 1477921823 | Laura Gore Siefert | Registered Nurse | 1 Saint Francis Drive, Greenville, SC 29601 | 2015-09-02 |
| 1821493826 | Sarah Fuller | Counselor | 602 Pettigru St, Greenville, SC 29601 | 2014-11-03 |
| 1689088932 | Chenille Taylor | Nurse Practitioner | 201 N. Main Street, Greenville, SC 29601 | 2014-06-15 |
| 1861827842 | Caritas Counseling Services LLC | Community/Behavioral Health | 111 Hampton Avenue, St Mary's Catholic Church, Greenville, SC 29601 | 2013-09-09 |
| 1568790335 | Lynn A. Victory | Counselor | 710 Pettigru Street, The Cottage, Greenville, SC 29601 | 2009-12-06 |
| 1386971448 | Lisa Speach | Nurse Practitioner | 3 St. Francis Drive, Suite 300, Greenville, SC 29601 | 2009-11-11 |
| 1851528418 | Adam Shawn Riffle | Specialist/Technologist | 175 Patewood Drive, Greenville, SC 29601 | 2009-06-22 |
| 1114178332 | Margaret W. Lee | Psychologist | 412 Pettigru St., Suite C, Greenville, SC 29601 | 2008-10-07 |
| Find all providers in zip 29601 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386613 | Grinville Dentistry LLC | Clinic/Center | 114 Laurens Rd Ste A, Greenville, SC 29607-1826 | 2020-11-06 |
| 1154934354 | Spectrum Integrative Dentistry | Clinic/Center | 2131 Woodruff Rd Ste 1100, Greenville, SC 29607-5934 | 2020-08-26 |
| 1992316053 | Childrens Dentistry of Greenville | Clinic/Center | 410 Pelham Rd Ste A, Greenville, SC 29615-3502 | 2020-08-12 |
| 1104312925 | Your Sleep Solution Inc | Clinic/Center | 3801 Kennett Pike Ste E207, Greenville, DE 19807-2340 | 2018-07-04 |
| 1114422557 | Vcare Dental LLC | Clinic/Center | 1530 Poinsett Hwy, Greenville, SC 29609-2929 | 2018-03-28 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| 1518241710 | Willoughby Dental Pa | Clinic/Center | 3101 S. Hwy 14, Suite 4, Greenville, SC 29615 | 2011-10-06 |
| 1487832960 | Johnathan P. Earp, Dds, Pa | Clinic/Center | 2401 S Charles Blvd, Greenville, NC 27858 | 2008-02-06 |
| 1558458711 | Thomas M. Clark Dds Pa | Clinic/Center | 2404 Wade Hampton Blvd, Greenville, SC 29615-1146 | 2006-10-09 |
| 1194811026 | Greene County Health Care Incorporated | Clinic/Center | 261 Belvoir Hwy, Greenville, NC 27834-8193 | 2006-10-05 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29601 |
Please comment or provide details below to improve the information on COMPREHENSIVE AND COSMETIC DENTAL STUDIO OF GREENVILLE.
| 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.