OrganizationActive
Sea Glass Periodontics
NPI 1043699770 · Periodontics · Greer, SC
Sea Glass Periodontics is a Periodontics organization in Greer, SC (NPI 1043699770).
Provider details
- NPI number
- 1043699770
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Beth Illsley, Director of Insurance(864) 282-1935
- License
- 7146/788 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 Memorial Drive Ext Ste 400
Greer, SC 29651-1850
Phone: (864) 282-1935
Fax: (864) 751-6387
Approximate (ZIP-level) locationGet directions
Mailing address
400 Memorial Drive Ext Ste 400
Greer, SC 29651-1850
Registry dates
- Enumerated
- 2015-05-27
- Last updated
- 2024-10-09
- Certified
- 2024-10-09
Frequently asked questions
- What is Sea Glass Periodontics's NPI number?
- Sea Glass Periodontics's National Provider Identifier (NPI) is 1043699770, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sea Glass Periodontics?
- Sea Glass Periodontics is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Sea Glass Periodontics located?
- Sea Glass Periodontics's practice location on file with NPPES is 400 Memorial Drive Ext Ste 400, Greer, SC 29651-1850.
- What is Sea Glass Periodontics's phone number?
- The practice phone number listed in the NPPES registry for Sea Glass Periodontics is (864) 282-1935.
- Who is the authorized official for Sea Glass Periodontics?
- The authorized official listed on Sea Glass Periodontics's NPPES record is Beth Illsley, Director of Insurance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sea Glass Periodontics's NPI active?
- Yes — Sea Glass Periodontics's NPI (1043699770) is active in the NPPES registry as of the last update on 2024-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.