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FLEETWOOD DENTAL
NPI 1073647889
Dentist - General Practice in Easley, SC

Active since March 15, 2007
105 FLEETWOOD DR, EASLEY, SC 29640(864) 855-2788(864) 855-2789 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fleetwood Dental NPPES

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

FLEETWOOD DENTAL (NPI 1073647889) is a healthcare organization registered as a general practice in Easley, South Carolina and active in the NPI registry since March 2007. The organization lists Willis Ely Hawkins, Owner, as its authorized official.

NPPES Registry Identity

NPI1073647889
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFLEETWOOD DENTAL
Location Address105 FLEETWOOD DREasley, SC 29640-2019
Mailing Address105 Fleetwood DrEasley, SC 29640-2019 · (864) 855-2788 · Fax (864) 855-2789
Phone(864) 855-2788
Fax(864) 855-2789
Organization SubpartNo
Authorized OfficialWillis Ely HawkinsOwner · (864) 855-2788
Enumeration DateMarch 15, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073647889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 3264
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.
105 FLEETWOOD DR, Easley, SC 29640
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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.

DR. WILLIS ELY HAWKINS III DMD
Dentist (General Practice)
105 FLEETWOOD DR
EASLEY, SC 29640
Pickens County (864) 855-2788
SONIA KAKKAR DDS
Dentist
105 FLEETWOOD DR
EASLEY, SC 29640
Pickens County (716) 440-8085
FLEETWOOD SQUARE DENTAL, LLC
Clinic/Center (Dental)
105 FLEETWOOD DR
EASLEY, SC 29640
Pickens County (864) 855-2788

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 Fleetwood Dental's NPI number?

The NPI number for Fleetwood Dental is 1073647889. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Fleetwood Dental located?

Fleetwood Dental is located at 105 Fleetwood Dr, Easley, SC 29640. The listed phone number is (864) 855-2788.

What is Fleetwood Dental'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 Fleetwood Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.