HOLLY TREE PEDIATRIC DENTISTRY
NPI 1083008890
Dentist - Pediatric Dentistry in Simpsonville, SC

Active since March 19, 2015
1334 HIGHWAY 14, SIMPSONVILLE, SC 29681(864) 297-5585(864) 297-4166 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Pediatric Dentistry

About HOLLY TREE PEDIATRIC DENTISTRY

This page provides the complete NPI Profile along with additional information for Holly Tree Pediatric Dentistry, a provider established in Simpsonville, South Carolina operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1083008890 assigned on March 2015. The practitioner's primary taxonomy code is 1223P0221X with license number 3427 (SC). The provider is registered as an organization and their NPI record was last updated 2 years ago. Holly Tree Pediatric Dentistry operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Holly Tree Pediatric Dentistry. The authorized official of this NPI record is Ann Bynum Dds (President)

NPI
1083008890 Verify this NPI
Provider Legal Name
HOLLY TREE PEDIATRIC DENTISTRY
Other Organization Name
HOLLY TREE PEDIATRIC DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1334 HIGHWAY 14 SIMPSONVILLE, SC 29681
Location Phone
(864) 297-5585
Location Fax
(864) 297-4166
Mailing Address
1334 HIGHWAY 14 SIMPSONVILLE, SC 29681
Mailing Phone
(864) 297-5585
Mailing Fax
(864) 297-4166
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2015
Last Update Date
02-29-2024
Code Navigator

A dentist like Holly Tree Pediatric Dentistry is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
3427
License State
SC
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANN BYNUM DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(864) 297-5585

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
1334 HIGHWAY 14
SIMPSONVILLE, SC 29681
Dentist (Pediatric Dentistry)
1334 HIGHWAY 14
SIMPSONVILLE, SC 29681
Dentist
1334 HIGHWAY 14
SIMPSONVILLE, SC 29681
Dentist (General Practice)
1334 HIGHWAY 14
SIMPSONVILLE, SC 29681
Dentist (Pediatric Dentistry)
1334 HIGHWAY 14
SIMPSONVILLE, SC 29681

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083008890, enumerated as an "organization" on March 19, 2015.

The provider is located at 1334 HIGHWAY 14 SIMPSONVILLE, SC 29681 and the phone number is (864) 297-5585.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.