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INDIGO PEDIATRIC DENTISTRY
NPI 1174082713
Dentist - Pediatric Dentistry in Easley, SC

Active since March 13, 2019
1026 POWDERSVILLE RD STE A, EASLEY, SC 29642(864) 442-6770(864) 442-6830 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2025, Mar 13, 2019 (2 updates tracked since 2019).

About Indigo Pediatric Dentistry NPPES

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

INDIGO PEDIATRIC DENTISTRY (NPI 1174082713), doing business as Rula M Shalabi, Dmd Pa, is a healthcare organization registered as a pediatric dentistry in Easley, South Carolina and active in the NPI registry since March 2019. The organization lists Rula Mahmoud Shalabi, Owner, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1174082713
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameINDIGO PEDIATRIC DENTISTRY
Location Address1026 POWDERSVILLE RD STE AEasley, SC 29642-2417
Mailing Address1026 Powdersville Rd Ste AEasley, SC 29642-2417 · (864) 442-6770 · Fax (864) 442-6830
Phone(864) 442-6770
Fax(864) 442-6830
Organization SubpartNo
Authorized OfficialRula Mahmoud ShalabiOwner, Pediatric Dentist · (864) 442-6770
Enumeration DateMarch 13, 2019
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1174082713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
1026 POWDERSVILLE RD STE A, Easley, SC 29642
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Other Names 2

Former Legal Business NameRula M Shalabi, Dmd Pa
Other NameHolly Tree

Other Identifiers 3

MedicaidZA8955SC
Other1609282425SC · Npi
MedicaidZX8355SC

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

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 Indigo Pediatric Dentistry's NPI number?

The NPI number for Indigo Pediatric Dentistry is 1174082713. It was assigned to this organization in the NPPES registry on March 13, 2019. The provider is also known as Holly Tree. The provider was formerly known as Rula M Shalabi, DMD PA.

Where is Indigo Pediatric Dentistry located?

Indigo Pediatric Dentistry is located at 1026 Powdersville Rd Ste A, Easley, SC 29642. The listed phone number is (864) 442-6770.

What is Indigo Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Indigo Pediatric Dentistry was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.