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PENDLETON NEIGHBORHOOD DENTAL, LLC
NPI 1689520140
Dentist - General Practice in Pendleton, SC

Active since March 07, 2026
137 COTESWORTH ST UNIT E, PENDLETON, SC 29670(714) 423-4436 Get Directions Write a Review

NPPES record last updated: March 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pendleton Neighborhood Dental, Llc NPPES

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

PENDLETON NEIGHBORHOOD DENTAL, LLC (NPI 1689520140) is a healthcare organization registered as a general practice in Pendleton, South Carolina and active in the NPI registry since March 2026. The organization lists Kerills Hossam Azer Habashi, Dentist, as its authorized official.

NPPES Registry Identity

NPI1689520140
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePENDLETON NEIGHBORHOOD DENTAL, LLC
Location Address137 COTESWORTH ST UNIT EPendleton, SC 29670-9545
Mailing Address137 Cotesworth St Unit EPendleton, SC 29670-9545
Phone(714) 423-4436
Organization SubpartNo
Authorized OfficialKerills Hossam Azer HabashiDentist · (714) 423-4436
Enumeration DateMarch 7, 2026
NPPES CertifiedMarch 7, 2026
✔ NPI 1689520140 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.
137 COTESWORTH ST UNIT E, Pendleton, SC 29670
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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 Pendleton Neighborhood Dental, LLC's NPI number?

The NPI number for Pendleton Neighborhood Dental, LLC is 1689520140. It was assigned to this organization in the NPPES registry on March 7, 2026.

Where is Pendleton Neighborhood Dental, LLC located?

Pendleton Neighborhood Dental, LLC is located at 137 Cotesworth St Unit E, Pendleton, SC 29670. The listed phone number is (714) 423-4436.

What is Pendleton Neighborhood 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 Pendleton Neighborhood Dental, LLC was last updated on March 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.