PEDIATRIC DENTISTRY, PA
NPI 1306999115
Dentist - Pediatric Dentistry in Greer, SC

Active since January 18, 2007
420 THE PKWY STE B, GREER, SC 29650(864) 877-3232(864) 677-3773 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Dentistry, Pa NPPES

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

PEDIATRIC DENTISTRY, PA (NPI 1306999115) is a healthcare organization registered as a pediatric dentistry in Greer, South Carolina and active in the NPI registry since January 2007. The organization lists Mark V Muncy, Pedodontist, as its authorized official.

NPPES Registry Identity

NPI1306999115
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY, PA
Location Address420 THE PKWY STE BGreer, SC 29650-5206
Mailing Address420 The Pkwy Ste BGreer, SC 29650-5206 · (864) 877-3232 · Fax (864) 677-3773
Fax(864) 677-3773
Organization SubpartNo
Authorized OfficialMark V MuncyPedodontist · (864) 877-3232
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1306999115 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 · 3515
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.
420 THE PKWY STE B, Greer, SC 29650

Other Identifiers 1

MedicaidZA9647SC

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

Accepted Insurance

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, PA's NPI number?

The NPI number for Pediatric Dentistry, PA is 1306999115. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Pediatric Dentistry, PA located?

Pediatric Dentistry, PA is located at 420 The Pkwy Ste B, Greer, SC 29650. The listed phone number is (864) 877-3232.

What is Pediatric Dentistry, PA's specialty?

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

What insurance does Pediatric Dentistry, PA accept?

Health plans from BlueCross BlueShield of South Carolina list Pediatric Dentistry, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.