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SEA GLASS PERIODONTICS
NPI 1043699770
Dentist - Periodontics in Greer, SC

Active since May 27, 2015
400 MEMORIAL DRIVE EXT STE 400, GREER, SC 29651(864) 282-1935(864) 751-6387 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2024, Jan 18, 2023, Jun 2, 2021 (3 updates tracked since 2021).

About Sea Glass Periodontics NPPES

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

SEA GLASS PERIODONTICS (NPI 1043699770) is a healthcare organization registered as a periodontics in Greer, South Carolina and active in the NPI registry since May 2015. The organization lists Beth Illsley, Director Of Insurance, as its authorized official.

NPPES Registry Identity

NPI1043699770
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSEA GLASS PERIODONTICS
Location Address400 MEMORIAL DRIVE EXT STE 400Greer, SC 29651-1850
Mailing Address400 Memorial Drive Ext Ste 400Greer, SC 29651-1850 · (864) 282-1935 · Fax (864) 751-6387
Phone(864) 282-1935
Fax(864) 751-6387
Organization SubpartNo
Authorized OfficialBeth IllsleyDirector Of Insurance · (864) 282-1935
Enumeration DateMay 27, 2015
Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1043699770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in SC · 7146/788
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
400 MEMORIAL DRIVE EXT STE 400, Greer, SC 29651
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY DENTAL HEALTH GROUP LLC
Dentist (General Practice)
400 MEMORIAL DRIVE EXT STE 400
GREER, SC 29651
Greenville County (864) 282-1935
DR. RACHEL RENEE SCAGLIONE DMD
Dentist (General Practice)
400 MEMORIAL DRIVE EXT STE 400
GREER, SC 29651
Greenville County (864) 877-6477
SAFRIT NC PLLC
Dentist (General Practice)
400 MEMORIAL DRIVE EXT STE 400
GREER, SC 29651
Greenville County (864) 282-1935

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 Sea Glass Periodontics's NPI number?

The NPI number for Sea Glass Periodontics is 1043699770. It was assigned to this organization in the NPPES registry on May 27, 2015.

Where is Sea Glass Periodontics located?

Sea Glass Periodontics is located at 400 Memorial Drive Ext Ste 400, Greer, SC 29651. The listed phone number is (864) 282-1935.

What is Sea Glass Periodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Sea Glass Periodontics was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.