FOOTHILLS DENTAL
NPI 1124664743
Dentist - General Practice in Spartanburg, SC

Active since November 19, 2019
2830 REIDVILLE RD, SPARTANBURG, SC 29301(864) 574-0762 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2021, Nov 19, 2019 (2 updates tracked since 2019).

About Foothills Dental NPPES

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

FOOTHILLS DENTAL (NPI 1124664743) is a healthcare organization registered as a general practice in Spartanburg, South Carolina and active in the NPI registry since November 2019. The organization lists Dallas Burnett, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124664743
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameR MATHIS 002 LLC
Location Address2830 REIDVILLE RDSpartanburg, SC 29301-5640
Mailing Address230 N Grove Medical Park DrSpartanburg, SC 29303-4222 · (864) 310-6888
Organization SubpartNo
Authorized OfficialDallas BurnettCeo · (864) 415-0931
Enumeration DateNovember 19, 2019
Last NPPES UpdateNovember 4, 20212 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
NPI 1124664743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2830 REIDVILLE RD, Spartanburg, SC 29301

Other Names 1

Doing Business AsFoothills Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Dentist (General Practice)
2830 REIDVILLE RD
SPARTANBURG, SC 29301
Dentist (General Practice)
2830 REIDVILLE RD
SPARTANBURG, SC 29301
Dentist (General Practice)
2830 REIDVILLE RD
SPARTANBURG, SC 29301
Dentist (General Practice)
2830 REIDVILLE RD
SPARTANBURG, SC 29301

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 R Mathis 002 LLC's NPI number?

The NPI number for R Mathis 002 LLC is 1124664743. It was assigned to this organization in the NPPES registry on November 19, 2019. The provider is doing business as Foothills Dental.

Where is R Mathis 002 LLC located?

R Mathis 002 LLC is located at 2830 Reidville Rd, Spartanburg, SC 29301. The listed phone number is (864) 574-0762.

What is R Mathis 002 LLC'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 R Mathis 002 LLC was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.