SOUTHEASTERN DENTAL ASSOCIATES PA
NPI 1396798567
Dentist - General Practice in Greenville, SC

Active since May 18, 2006
4 HALTON GREEN WAY, GREENVILLE, SC 29607(864) 283-2838(864) 286-0560 Get Directions Write a Review

NPPES record last updated: July 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southeastern Dental Associates Pa NPPES

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

SOUTHEASTERN DENTAL ASSOCIATES PA (NPI 1396798567) is a healthcare organization registered as a general practice in Greenville, South Carolina and active in the NPI registry since May 2006. The organization lists Linda Wentworth Bridges, Dentist, as its authorized official.

NPPES Registry Identity

NPI1396798567
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHEASTERN DENTAL ASSOCIATES PA
Location Address4 HALTON GREEN WAYGreenville, SC 29607-6606
Mailing Address4 Halton Green WayGreenville, SC 29607-6606 · (864) 283-2838 · Fax (864) 286-0560
Fax(864) 286-0560
Organization SubpartNo
Authorized OfficialLinda Wentworth BridgesDentist · (864) 283-2838
Enumeration DateMay 18, 2006
Last NPPES UpdateJuly 5, 2016
NPI 1396798567 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 · 3746
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.
4 HALTON GREEN WAY, Greenville, SC 29607

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

Accepted Insurance

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 (General Practice)
4 HALTON GREEN WAY
GREENVILLE, SC 29607

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 Southeastern Dental Associates PA's NPI number?

The NPI number for Southeastern Dental Associates PA is 1396798567. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Southeastern Dental Associates PA located?

Southeastern Dental Associates PA is located at 4 Halton Green Way, Greenville, SC 29607. The listed phone number is (864) 283-2838.

What is Southeastern Dental Associates PA's specialty?

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

What insurance does Southeastern Dental Associates PA accept?

Health plans from BlueCross BlueShield of South Carolina list Southeastern Dental Associates 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 Southeastern Dental Associates PA was last updated on July 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.