CHILDRENS DENTISTRY OF GREENVILLE (NPI# 1992316053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992316053 |
| Entity Type | Organization |
| Organization Name | CHILDRENS DENTISTRY OF GREENVILLE |
| Practice Address |
410 Pelham Rd Ste A Greenville SC 29615-3502 |
| Mailing Address |
200 S Pleasantburg Dr Greenville SC 29607-2522 |
| Practice Telephone | 8642323333 |
| Mailing Telephone | 8642353949 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | DR. MARC DAVID WORKMAN (MEMBER) |
| Authorized Official Telephone | 8642353949 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
410 PELHAM RD STE A |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| 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 |
| 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 |
| 1720617137 | Phillip D. Gould, Dmd, LLC | Clinic/Center | 127 Hunts Bridge Rd, Greenville, SC 29617-1623 | 2020-04-07 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on CHILDRENS DENTISTRY 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.