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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: October 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 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 · (864) 501-9800
Phone(864) 501-9800
Organization SubpartNo
Authorized OfficialJohn KennedyOwner · (864) 501-9800
Enumeration DateMarch 16, 2018
Last NPPES UpdateOctober 25, 2026
NPPES CertifiedOctober 25, 2026
✔ 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
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Other Providers at the Same Location NPPES 4

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

DR. JOHN ALEXANDER KENNEDY JR. D.M.D.
Dentist (General Practice)
2311 WOODRUFF RD
SIMPSONVILLE, SC 29681
Greenville County (864) 501-9800
DR. CHRISTOPHER LEE MCKEE DMD
Dentist (General Practice)
2311 WOODRUFF RD
SIMPSONVILLE, SC 29681
Greenville County (864) 501-9800
DR. AIDAN OHNING DMD
Dentist (General Practice)
2311 WOODRUFF RD
SIMPSONVILLE, SC 29681
Greenville County (864) 501-9800
ABIGAIL LEE DARLING DMD
Dentist
2311 WOODRUFF RD
SIMPSONVILLE, SC 29681
Greenville County (864) 501-9800

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 October 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.