Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

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: August 09, 2026.

About Greenville Ortho Llc NPPES

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

GREENVILLE ORTHO LLC (NPI 1093632481) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Greenville, South Carolina and active in the NPI registry since July 2026. The organization lists Jenni Tomlinson, Credentialing And Enrollment, as its authorized official.

NPPES Registry Identity

NPI1093632481
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameGREENVILLE ORTHO LLC
Location Address105 STATE PARK RDGreenville, SC 29609-2914
Mailing Address105 State Park RdGreenville, SC 29609-2914 · (864) 586-1202 · Fax (864) 271-8951
Fax(864) 271-8951
Organization SubpartNo
Authorized OfficialJenni TomlinsonCredentialing And Enrollment · (470) 552-1823
Enumeration DateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
NPI 1093632481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
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.
105 STATE PARK RD, Greenville, SC 29609

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 6

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

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

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 Greenville Ortho LLC's NPI number?

The NPI number for Greenville Ortho LLC is 1093632481. It was assigned to this organization in the NPPES registry on July 6, 2026.

Where is Greenville Ortho LLC located?

Greenville Ortho LLC is located at 105 State Park Rd, Greenville, SC 29609. The listed phone number is (864) 586-1202.

What is Greenville Ortho LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Greenville Ortho LLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 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.