1. Home
  2. Directory
  3. South Carolina
  4. Simpsonville
  5. Clinic Center
  6. NPI Profile

PROVIDENCE DENTAL GROUP LLC
NPI 1760502181
Clinic/Center - Dental in Simpsonville, SC

Active since March 30, 2007
220 BRIDGES RD, SIMPSONVILLE, SC 29681(864) 675-6445(864) 675-6447 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Dental Group Llc NPPES

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

PROVIDENCE DENTAL GROUP LLC (NPI 1760502181) is a healthcare organization registered as a dental in Simpsonville, South Carolina and active in the NPI registry since March 2007. The organization lists Jason Phillip Makowski, Member, as its authorized official.

NPPES Registry Identity

NPI1760502181
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePROVIDENCE DENTAL GROUP LLC
Location Address220 BRIDGES RDSimpsonville, SC 29681-5700
Mailing Address220 Bridges RdSimpsonville, SC 29681-5700 · (864) 675-6445 · Fax (864) 675-6447
Phone(864) 675-6445
Fax(864) 675-6447
Organization SubpartNo
Authorized OfficialJason Phillip MakowskiMember · (864) 675-6445
Enumeration DateMarch 30, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760502181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in SC · SC 3724
220 BRIDGES RD, Simpsonville, SC 29681
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

DR. JASON PHILLIP MAKOWSKI
Dentist (General Practice)
220 BRIDGES RD
SIMPSONVILLE, SC 29681
Greenville County (864) 675-6445

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 Providence Dental Group LLC's NPI number?

The NPI number for Providence Dental Group LLC is 1760502181. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Providence Dental Group LLC located?

Providence Dental Group LLC is located at 220 Bridges Rd, Simpsonville, SC 29681. The listed phone number is (864) 675-6445.

What is Providence Dental Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Providence Dental Group LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.