Greenville Pediatric Dentistry Pa
Pediatric Dental Clinic
1376 Cleveland St, Greenville
South Carolina, 29607-2435
864-250-1100 864-250-1604
Maps & DirectionsGreenville Pediatric Dentistry Pa is a Pediatric Dental Clinic in Greenville, South Carolina. It is located at 1376 Cleveland St, Greenville, SC and its contact number is 864-250-1100. The authorized person for Greenville Pediatric Dentistry Pa is Mrs. Tammy Knight Porter
who is Insurance Claims Manager of the clinic and their contact number is 864-250-1100.
Greenville Pediatric Dentistry Pa Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Greenville Pediatric Dentistry Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Greenville Pediatric Dentistry Pa |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 1376 Cleveland St, Greenville,
South Carolina, 29607-2435 |
| Phone: | 864-250-1100 |
| Fax: | 864-250-1604 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Tammy Knight Porter |
| Position: | Insurance Claims Manager |
| Contact Number: | 864-250-1100 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Greenville Pediatric Dentistry Pa clinic are as mentioned below.
| NPI Number: | 1366522922 |
| NPI Enumeration Date: | 17 Oct, 2006 |
| NPI Last Update On: | 10 Jun, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Greenville Pediatric Dentistry Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| ZA9752 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Greenville Pediatric Dentistry Pa
1376 Cleveland St,
Greenville, South Carolina |
| Zip: | 29607-2435 |
| Phone Number: | 864-250-1100 |
| Fax Number: | 864-250-1604 |
Patients can reach Greenville Pediatric Dentistry Pa at
1376 Cleveland St, Greenville, South Carolina or can
call to book an appointment on 864-250-1100.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.