PEDIATRIC DENTISTRY OF GREENWOOD, P.A.
NPI 1215188388
Dentist - Pediatric Dentistry in Greenwood, SC

Active since October 07, 2008
1202B HWY 72 W, GREENWOOD, SC 29649(864) 229-0305 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dentistry Of Greenwood, P.a. NPPES

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

PEDIATRIC DENTISTRY OF GREENWOOD, P.A. (NPI 1215188388) is a healthcare organization registered as a pediatric dentistry in Greenwood, South Carolina and active in the NPI registry since October 2008. The organization lists Jennifer Balkcum Turner, Dentist, as its authorized official.

NPPES Registry Identity

NPI1215188388
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF GREENWOOD, P.A.
Location Address1202B HWY 72 WGreenwood, SC 29649-1816
Mailing Address1202b Hwy 72 WGreenwood, SC 29649-1816 · (864) 229-0305
Organization SubpartNo
Authorized OfficialJennifer Balkcum TurnerDentist · (864) 229-0305
Enumeration DateOctober 7, 2008
NPI 1215188388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in SC · SC4112
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.
1202B HWY 72 W, Greenwood, SC 29649

Other Identifiers 2

MedicaidZX4112SC
MedicaidZX4050SC

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

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

Dentist
1202B HWY 72 W
GREENWOOD, SC 29649

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 Pediatric Dentistry Of Greenwood, P.A.'s NPI number?

The NPI number for Pediatric Dentistry Of Greenwood, P.A. is 1215188388. It was assigned to this organization in the NPPES registry on October 7, 2008.

Where is Pediatric Dentistry Of Greenwood, P.A. located?

Pediatric Dentistry Of Greenwood, P.A. is located at 1202B Hwy 72 W, Greenwood, SC 29649. The listed phone number is (864) 229-0305.

What is Pediatric Dentistry Of Greenwood, P.A.'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 Pediatric Dentistry Of Greenwood, P.A. was last updated on October 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.