BELLA VISTA FAMILY DENTAL AT FIVE FORKS
NPI 1073016937
Dentist - General Practice in Simpsonville, SC

Active since March 16, 2018
2311 WOODRUFF RD, SIMPSONVILLE, SC 29681(864) 501-9800 Get Directions Write a Review

NPPES record last updated: March 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bella Vista Family Dental At Five Forks NPPES

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

BELLA VISTA FAMILY DENTAL AT FIVE FORKS (NPI 1073016937) is a healthcare organization registered as a general practice in Simpsonville, South Carolina and active in the NPI registry since March 2018. The organization lists John Kennedy, Owner, as its authorized official.

NPPES Registry Identity

NPI1073016937
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBELLA VISTA FAMILY DENTAL AT FIVE FORKS
Location Address2311 WOODRUFF RDSimpsonville, SC 29681-5442
Mailing AddressPo Box 31625Greenville, SC 29608-1625
Organization SubpartNo
Authorized OfficialJohn KennedyOwner · (864) 501-0070
Enumeration DateMarch 16, 2018
NPI 1073016937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in SC · 4377
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.
Also ListedDentistTaxonomy 122300000X · License 4377 (SC)
2311 WOODRUFF RD, Simpsonville, SC 29681

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.

Dentist (General Practice)
2311 WOODRUFF RD
SIMPSONVILLE, SC 29681
Dentist (General Practice)
2311 WOODRUFF RD
SIMPSONVILLE, SC 29681
Dentist
2311 WOODRUFF RD
SIMPSONVILLE, SC 29681

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 Bella Vista Family Dental At Five Forks's NPI number?

The NPI number for Bella Vista Family Dental At Five Forks is 1073016937. It was assigned to this organization in the NPPES registry on March 16, 2018.

Where is Bella Vista Family Dental At Five Forks located?

Bella Vista Family Dental At Five Forks is located at 2311 Woodruff Rd, Simpsonville, SC 29681. The listed phone number is (864) 501-9800.

What is Bella Vista Family Dental At Five Forks's specialty?

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

When was this NPI record last updated?

The NPPES record for Bella Vista Family Dental At Five Forks was last updated on March 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.