FALLS PARK DENTISTRY
NPI 1790950202
Dentist - General Practice in Greenville, SC

Active since April 25, 2008
104 N MAIN ST, GREENVILLE, SC 29601(864) 243-8371 Get Directions Write a Review

NPPES record last updated: April 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Falls Park Dentistry NPPES

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

FALLS PARK DENTISTRY (NPI 1790950202) is a healthcare organization registered as a general practice in Greenville, South Carolina and active in the NPI registry since April 2008. The organization lists Brian Russell Derrick, Dentist/president, as its authorized official.

NPPES Registry Identity

NPI1790950202
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFALLS PARK DENTISTRY
Location Address104 N MAIN STGreenville, SC 29601-2721
Mailing Address104 N Main StGreenville, SC 29601-2721 · (864) 243-8371
Organization SubpartNo
Authorized OfficialBrian Russell DerrickDentist/president · (864) 243-8371
Enumeration DateApril 25, 2008
NPI 1790950202 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.
104 N MAIN ST, Greenville, SC 29601

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.

Dentist (General Practice)
104 N MAIN ST
GREENVILLE, SC 29601

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 Falls Park Dentistry's NPI number?

The NPI number for Falls Park Dentistry is 1790950202. It was assigned to this organization in the NPPES registry on April 25, 2008.

Where is Falls Park Dentistry located?

Falls Park Dentistry is located at 104 N Main St, Greenville, SC 29601. The listed phone number is (864) 243-8371.

What is Falls Park Dentistry'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 Falls Park Dentistry was last updated on April 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.