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

Pediatric Dentistry of Greenville, PA

Organization Pediatric Dentistry · NPI 1902884984

Pediatric Dentistry of Greenville, PA is a Pediatric Dentistry in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
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

410A Pelham Rd
Greenville, SC 29615-3502
Phone: (864) 232-1574
Fax: (864) 232-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence ZA9916 (SC)

Record details

NPI number1902884984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Martinez — Office Assitant · (864) 232-1574
NPI enumeratedJanuary 9, 2006
Last updated in NPPESAugust 22, 2020
Mailing address410a Pelham Rd, Greenville, SC 29615-3502

Other providers in Greenville