MIRROR LAKE FAMILY DENTISTRY PA
NPI 1366861437
Dentist - General Practice in Greenville, SC

Q: What is Mirror Lake Family Dentistry PA's NPI number?

The NPI number for Mirror Lake Family Dentistry PA is 1366861437. It was assigned to this organization in the NPPES registry on April 15, 2014.

Q: What is Mirror Lake Family Dentistry PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since April 15, 2014

54A POINTE CIR, GREENVILLE, SC 29615(864) 235-0175 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mirror Lake Family Dentistry Pa NPPES

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

MIRROR LAKE FAMILY DENTISTRY PA (NPI 1366861437) is a healthcare organization registered as a general practice in Greenville, South Carolina and active in the NPI registry since April 2014. The organization lists William Phillip Swinderman, Dentist, as its authorized official.

NPPES Registry Identity

NPI1366861437

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMIRROR LAKE FAMILY DENTISTRY PA

Location Address54A POINTE CIRGreenville, SC 29615-3506

Mailing Address54a Pointe CirGreenville, SC 29615-3506 · (864) 235-0175

Phone(864) 235-0175

Organization SubpartNo

Authorized OfficialWilliam Phillip SwindermanDentist · (216) 287-8921

Enumeration DateApril 15, 2014

Last NPPES UpdateApril 23, 2014

✔ NPI 1366861437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · 4499

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.

54A POINTE CIR, Greenville, SC 29615

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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 Mirror Lake Family Dentistry PA's NPI number?

The NPI number for Mirror Lake Family Dentistry PA is 1366861437. It was assigned to this organization in the NPPES registry on April 15, 2014.

Where is Mirror Lake Family Dentistry PA located?

Mirror Lake Family Dentistry PA is located at 54A Pointe Cir, Greenville, SC 29615. The listed phone number is (864) 235-0175.

What is Mirror Lake Family Dentistry PA'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 Mirror Lake Family Dentistry PA was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.