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

Mirror Lake Family Dentistry PA

Organization General Practice Dentistry · NPI 1366861437

Mirror Lake Family Dentistry PA is a General Practice Dentistry in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2014.

Licensed in
SC
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

54A Pointe Cir
Greenville, SC 29615-3506
Phone: (864) 235-0175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4499 (SC)

Record details

NPI number1366861437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Swinderman — Dentist · (216) 287-8921
NPI enumeratedApril 15, 2014
Last updated in NPPESApril 23, 2014
Mailing address54a Pointe Cir, Greenville, SC 29615-3506

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