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

Sea Glass Periodontics

Organization Periodontics · NPI 1043699770

Sea Glass Periodontics is a Periodontics in Greer, South Carolina. Licensed in South Carolina. Registered with an NPI since 2015.

Licensed in
SC
In the registry since
2015

Practice location Address checks out

400 Memorial Drive Ext Ste 400
Greer, SC 29651-1850
Phone: (864) 282-1935
Fax: (864) 751-6387
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 7146/788 (SC)

Record details

NPI number1043699770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beth Illsley — Director Of Insurance · (864) 282-1935
NPI enumeratedMay 27, 2015
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address400 Memorial Drive Ext Ste 400, Greer, SC 29651-1850

Other providers in Greer