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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SPARK DENTAL SC LLC
NPI 1780506881
Dentist - General Practice in Greenville, SC

Active since July 29, 2026
415 FARRS BRIDGE RD, GREENVILLE, SC 29617(864) 232-6800 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spark Dental Sc Llc NPPES

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

SPARK DENTAL SC LLC (NPI 1780506881), doing business as Oak Tree Pediatric Dentistry, is a healthcare organization registered as a general practice in Greenville, South Carolina and active in the NPI registry since July 2026. The organization lists Sherrie Edmondson, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1780506881
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSPARK DENTAL SC LLC
Location Address415 FARRS BRIDGE RDGreenville, SC 29617-1858
Mailing AddressPo Box 831175Philadelphia, PA 19182-1175
Phone(864) 232-6800
Organization SubpartNo
Authorized OfficialSherrie EdmondsonDirector Of Credentialing · (629) 666-8612
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1780506881 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.
415 FARRS BRIDGE RD, Greenville, SC 29617
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Other Names 1

Doing Business AsOak Tree Pediatric Dentistry

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

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

ANNA LOUISE HICKLIN DMD
Dentist
415 FARRS BRIDGE RD, ATTN: ANNA LOUISE HICKLIN, DMD
GREENVILLE, SC 29617
Greenville County (864) 246-2181

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 Spark Dental Sc LLC's NPI number?

The NPI number for Spark Dental Sc LLC is 1780506881. It was assigned to this organization in the NPPES registry on July 29, 2026. The provider is doing business as Oak Tree Pediatric Dentistry.

Where is Spark Dental Sc LLC located?

Spark Dental Sc LLC is located at 415 Farrs Bridge Rd, Greenville, SC 29617. The listed phone number is (864) 232-6800.

What is Spark Dental Sc 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 Spark Dental Sc LLC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.