Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Blake Lewis Tollison, DMD, MSD

Individual provider Dentist · NPI 1629517719

Dr. Blake Lewis Tollison, DMD, MSD is a Dentist in Greenville, South Carolina. Practices as a sole proprietor. Licensed in Alabama and South Carolina.

Licensed in
AL, SC
In the registry since
2017
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

20 Creekview Ct Ste A
Greenville, SC 29615-4800
Phone: (864) 329-1971
Fax: (864) 329-1973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 10920 (SC)
Dentist Taxonomy 122300000X · Licence D.6883-C1 (AL)
Dentist Taxonomy 122300000X · Licence 8950 (SC)

Record details

NPI number1629517719
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MSD
Sole proprietorYes
NPI enumeratedFebruary 22, 2017
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

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