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GREENVILLE YOUTH DENTISTRY, LLC
NPI 1477595759
Dentist - General Practice in Greenville, SC

Active since June 12, 2006
225 S PLEASANTBURG DR, SUITE E10, GREENVILLE, SC 29607(864) 233-7737(864) 233-6559 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Greenville Youth Dentistry, Llc NPPES

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

GREENVILLE YOUTH DENTISTRY, LLC (NPI 1477595759) is a healthcare organization registered as a general practice in Greenville, South Carolina and active in the NPI registry since June 2006. The organization lists Jenell Stump, Manager, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1477595759
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGREENVILLE YOUTH DENTISTRY, LLC
Location Address225 S PLEASANTBURG DR, SUITE E10Greenville, SC 29607-2544
Mailing Address16 Arcade Unit 198747Nashville, TN 37219-1994 · (615) 750-0343 · Fax (615) 986-1705
Phone(864) 233-7737
Fax(864) 233-6559
Organization SubpartNo
Authorized OfficialJenell StumpManager, Licensing & Credentialing · (615) 750-0343
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 9, 2014
✔ NPI 1477595759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
225 S PLEASANTBURG DR, Greenville, SC 29607
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Other Identifiers 1

MedicaidZA9485SC

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 5

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

JASPINDER BHATTAL
Dentist (General Practice)
225 S PLEASANTBURG DR, SUITE E10
GREENVILLE, SC 29607
Greenville County (864) 233-7737
DR. MARY SMOAK JOHNSTON DMD
Dentist (General Practice)
225 S PLEASANTBURG DR, SUITE E10
GREENVILLE, SC 29607
Greenville County (864) 233-7737
DR. GEORGE L. JONES PSY.D.
Counselor (Professional)
225 S PLEASANTBURG DR
GREENVILLE, SC 29607
Greenville County (864) 325-4254
COREY J BALDWIN
Emergency Medical Technician, Basic
225 S PLEASANTBURG DR
GREENVILLE, SC 29607
Greenville County (864) 451-0243
TU-WANDA MARABLE MARTIN
Dentist (Pediatric Dentistry)
225 S PLEASANTBURG DR, E10
GREENVILLE, SC 29607
Greenville County (864) 233-7737

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 Greenville Youth Dentistry, LLC's NPI number?

The NPI number for Greenville Youth Dentistry, LLC is 1477595759. It was assigned to this organization in the NPPES registry on June 12, 2006.

Where is Greenville Youth Dentistry, LLC located?

Greenville Youth Dentistry, LLC is located at 225 S Pleasantburg Dr Suite E10, Greenville, SC 29607. The listed phone number is (864) 233-7737.

What is Greenville Youth Dentistry, LLC'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 Greenville Youth Dentistry, LLC was last updated on July 9, 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.