UPSTATE PEDIATRIC DENTISTRY, PA (NPI# 1275780454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275780454 |
| Entity Type | Organization |
| Organization Name | UPSTATE PEDIATRIC DENTISTRY, PA |
| Practice Address |
105-a Halton Road Greenville SC 29607-3507 |
| Practice Telephone | 8646769873 |
| Practice Fax Number | 8646769870 |
| Mailing Telephone | 8646769873 |
| Mailing Fax Number | 8646769870 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |
| Authorized Official Name | DR. BRIAN TIMOTHY JONES (DENTIST) |
| Authorized Official Telephone | 8646769873 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
105-A HALTON ROAD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607-3507 |
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699208488 | Greenville Tiny Teeth Pllc | Dentist | 3206 I 30, Suite C, Greenville, TX 75402-7000 | 2017-04-07 |
| 1558532028 | Pediatric Dental Specialists | Dentist | 1540 S Main St, Suite C, Greenville, MS 38701-7055 | 2008-03-12 |
| 1003022930 | Greenville Pediatric Dentistry, P.a. | Dentist | 3101 Joe Ramsey Blvd E, Suite 103a, Greenville, TX 75401-7716 | 2007-05-15 |
| 1194805143 | Mary Whitaker Crockett | Dentist | 102 S Venture Dr, Greenville, SC 29615-3571 | 2006-10-16 |
| 1508956632 | April Dunlap Czarsty | Dentist | 1376 Cleveland St, Greenville, SC 29607-2435 | 2006-10-12 |
| 1518986496 | Jennifer L Garvey | Dentist | 100 Regent Park Ct, Greenville, SC 29607-6534 | 2006-07-19 |
| 1386689974 | William Neil Quinton | Dentist | 837 S Main St, Greenville, MS 38701-5871 | 2006-06-18 |
| 1902884984 | Pediatric Dentistry of Greenville,p.a. | Dentist | 410a Pelham Rd, Greenville, SC 29615-3502 | 2006-01-09 |
| 1790771871 | Glenn Robert Head | Dentist | 6 Pointe Cir, Greenville, SC 29615-3506 | 2005-09-23 |
| 1154824324 | Michael Benham Thompson | Dentist | 545 Verdae Blvd Ste A, Greenville, SC 29607-4021 | 2018-03-14 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29607 |
Please comment or provide details below to improve the information on UPSTATE PEDIATRIC DENTISTRY, PA.
| 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.