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PRIME DENTAL LLC
NPI 1629621933
Dentist - General Practice in Anderson, SC

Active since July 17, 2019
4130 CLEMSON BLVD, ANDERSON, SC 29621(864) 332-1266(864) 261-6988 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prime Dental Llc NPPES

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

PRIME DENTAL LLC (NPI 1629621933) is a healthcare organization registered as a general practice in Anderson, South Carolina and active in the NPI registry since July 2019. The organization lists Asa Duncan Shirley, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1629621933
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRIME DENTAL LLC
Location Address4130 CLEMSON BLVDAnderson, SC 29621
Mailing Address4130 Clemson BlvdAnderson, SC 29621 · (864) 332-1266 · Fax (864) 332-1266
Phone(864) 332-1266
Fax(864) 261-6988
Organization SubpartYes
Authorized OfficialAsa Duncan ShirleyOwner/dentist · (864) 332-1266
Enumeration DateJuly 17, 2019
✔ NPI 1629621933 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.
4130 CLEMSON BLVD, Anderson, SC 29621
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Other Identifiers 2

Medicaid218632SC
OtherZZ2657SC · -

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

Other Providers at the Same Location NPPES 4

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

DR. JEFFREY ALAN JENKINSON D.M.D.
Dentist (General Practice)
4130 CLEMSON BLVD
ANDERSON, SC 29621
Anderson County (864) 332-1266
CAROLINA URGENT DENTAL CARE
Dentist (General Practice)
4130 CLEMSON BLVD
ANDERSON, SC 29621
Anderson County (864) 332-1266
DENT NOW CORPARATION
Dentist (General Practice)
4130 CLEMSON BLVD
ANDERSON, SC 29621
Anderson County (864) 332-1266
AP DENTAL LLC
Clinic/Center (Dental)
4130 CLEMSON BLVD
ANDERSON, SC 29621
Anderson County (864) 332-1266

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 Prime Dental LLC's NPI number?

The NPI number for Prime Dental LLC is 1629621933. It was assigned to this organization in the NPPES registry on July 17, 2019.

Where is Prime Dental LLC located?

Prime Dental LLC is located at 4130 Clemson Blvd, Anderson, SC 29621. The listed phone number is (864) 332-1266.

What is Prime Dental 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 Prime Dental LLC was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.