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GREENVILLE AVENUE DENTISTRY, PC
NPI 1033849997
Dentist - General Practice in Greenville, SC

Active since June 14, 2022
3116 N PLEASANTBURG DR STE 400, GREENVILLE, SC 29609(864) 565-7132(864) 568-3813 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Greenville Avenue Dentistry, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREENVILLE AVENUE DENTISTRY, PC (NPI 1033849997), doing business as Greenville Avenue Dentistry, is a healthcare organization registered as a general practice in Greenville, South Carolina and active in the NPI registry since June 2022. The organization lists Ali Shahrestani, Owner, as its authorized official.

NPPES Registry Identity

NPI1033849997
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGREENVILLE AVENUE DENTISTRY, PC
Location Address3116 N PLEASANTBURG DR STE 400Greenville, SC 29609-3757
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (303) 952-0892
Phone(864) 565-7132
Fax(864) 568-3813
Organization SubpartNo
Authorized OfficialAli ShahrestaniOwner · (864) 565-7132
Enumeration DateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1033849997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3116 N PLEASANTBURG DR STE 400, Greenville, SC 29609
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Other Names 1

Doing Business AsGreenville Avenue Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greenville Avenue Dentistry, PC's NPI number?

The NPI number for Greenville Avenue Dentistry, PC is 1033849997. It was assigned to this organization in the NPPES registry on June 14, 2022. The provider is doing business as Greenville Avenue Dentistry.

Where is Greenville Avenue Dentistry, PC located?

Greenville Avenue Dentistry, PC is located at 3116 N Pleasantburg Dr Ste 400, Greenville, SC 29609. The listed phone number is (864) 565-7132.

What is Greenville Avenue Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Greenville Avenue Dentistry, PC accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Greenville Avenue Dentistry, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Greenville Avenue Dentistry, PC was last updated on June 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.