PEDIATRIC DENTISTRY OF GREENVILLE,P.A.
NPI 1902884984
Dentist - Pediatric Dentistry in Greenville, SC

Q: What is Pediatric Dentistry Of Greenville,p.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since January 09, 2006

410A PELHAM RD, GREENVILLE, SC 29615(864) 232-1574(864) 232-6800 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pediatric Dentistry Of Greenville,p.a. NPPES

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

PEDIATRIC DENTISTRY OF GREENVILLE,P.A. (NPI 1902884984) is a healthcare organization registered as a pediatric dentistry in Greenville, South Carolina and active in the NPI registry since January 2006. The organization lists Kim Martinez, Office Assitant, as its authorized official.

NPPES Registry Identity

NPI1902884984

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePEDIATRIC DENTISTRY OF GREENVILLE,P.A.

Location Address410A PELHAM RDGreenville, SC 29615-3502

Mailing Address410a Pelham RdGreenville, SC 29615-3502 · (864) 232-1574 · Fax (864) 232-6800

Phone(864) 232-1574

Fax(864) 232-6800

Organization SubpartNo

Authorized OfficialKim MartinezOffice Assitant · (864) 232-1574

Enumeration DateJanuary 9, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1902884984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in SC · ZA9916

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

410A PELHAM RD, Greenville, SC 29615

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Other Identifiers 1

MedicaidZA9916SC

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.

DR. JONATHAN W CHAY DMD

Dentist (Pediatric Dentistry)

410A PELHAM RD
GREENVILLE, SC 29615

Greenville County (864) 232-3333

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 Pediatric Dentistry Of Greenville,p.A.'s NPI number?

The NPI number for Pediatric Dentistry Of Greenville,p.A. is 1902884984. It was assigned to this organization in the NPPES registry on January 9, 2006.

Where is Pediatric Dentistry Of Greenville,p.A. located?

Pediatric Dentistry Of Greenville,p.A. is located at 410A Pelham Rd, Greenville, SC 29615. The listed phone number is (864) 232-1574.

What is Pediatric Dentistry Of Greenville,p.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry Of Greenville,p.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.