Greenville 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.