Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bella Vista Family Dental at Five Forks

Organization Dentist · NPI 1073016937

Bella Vista Family Dental at Five Forks is a Dentist in Simpsonville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in
SC
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2311 Woodruff Rd
Simpsonville, SC 29681-5442
Phone: (864) 501-9800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4377 (SC)
Dentist Taxonomy 122300000X · Licence 4377 (SC)

Record details

NPI number1073016937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Kennedy — Owner · (864) 501-0070
NPI enumeratedMarch 16, 2018
Last updated in NPPESMarch 16, 2018
Mailing addressPo Box 31625, Greenville, SC 29608-1625

Other providers in Simpsonville