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GREENVILLE ORTHO LLC
NPI 1093632481
Dentist - Orthodontics and Dentofacial Orthopedics in Greenville, SC

Active since July 06, 2026
105 STATE PARK RD, GREENVILLE, SC 29609(864) 586-1202(864) 271-8951 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Orthodontics and Dentofacial Orthopedics

About GREENVILLE ORTHO LLC

This page provides the complete NPI Profile along with additional information for Greenville Ortho Llc, a provider established in Greenville, South Carolina operating as a Dentist, focusing in orthodontics and dentofacial orthopedics . The healthcare provider is registered in the NPI registry with number 1093632481 assigned on July 2026. The practitioner's primary taxonomy code is 1223X0400X. The provider is registered as an organization and their NPI record was last updated July 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jenni Tomlinson (Credentialing And Enrollment)

NPI
1093632481 Verify this NPI
Provider Name
GREENVILLE ORTHO LLC
Entity Type
Organization
Location Address
105 STATE PARK RD GREENVILLE, SC 29609
Location Phone
(864) 586-1202
Location Fax
(864) 271-8951
Mailing Address
105 STATE PARK RD GREENVILLE, SC 29609
Mailing Phone
(864) 586-1202
Mailing Fax
(864) 271-8951
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-06-2026
Last Update Date
07-06-2026
Code Navigator

A dentist like Greenville Ortho Llc 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 Orthodontics and Dentofacial Orthopedics

Taxonomy Code
1223X0400X
Type
Dental Providers
Taxonomy Description
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

JENNI TOMLINSON

Authorized Official Title
CREDENTIALING AND ENROLLMENT
Authorized Official Phone
(470) 552-1823

Reviews for GREENVILLE ORTHO LLC

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Dentist (General Practice)
105 STATE PARK RD
GREENVILLE, SC 29609
Dentist (Orthodontics and Dentofacial Orthopedics)
105 STATE PARK RD
GREENVILLE, SC 29609
Dentist (Orthodontics and Dentofacial Orthopedics)
105 STATE PARK RD
GREENVILLE, SC 29609
Dentist (General Practice)
105 STATE PARK RD
GREENVILLE, SC 29609
Dentist (General Practice)
105 STATE PARK RD
GREENVILLE, SC 29609
Dentist
105 STATE PARK RD
GREENVILLE, SC 29609

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093632481, enumerated as an "organization" on July 06, 2026.

The provider is located at 105 STATE PARK RD GREENVILLE, SC 29609 and the phone number is (864) 586-1202.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.