OrganizationActive
R Mathis 002 LLC
NPI 1124664743 · General Practice Dentistry · Spartanburg, SC
R Mathis 002 LLC is a General Practice Dentistry organization in Spartanburg, SC (NPI 1124664743).
Provider details
- NPI number
- 1124664743
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Dallas Burnett, Ceo(864) 415-0931
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
2830 Reidville Rd
Spartanburg, SC 29301-5640
Phone: (864) 574-0762
Street-level locationGet directions
Mailing address
230 N Grove Medical Park Dr
Spartanburg, SC 29303-4222
Other names (DBA / former)
- Doing business as
- Foothills Dental
- Doing business as
- Foothills Dental
Registry dates
- Enumerated
- 2019-11-19
- Last updated
- 2021-11-04
- Certified
- 2021-10-18
Frequently asked questions
- What is R Mathis 002 LLC's NPI number?
- R Mathis 002 LLC's National Provider Identifier (NPI) is 1124664743, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is R Mathis 002 LLC?
- R Mathis 002 LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is R Mathis 002 LLC located?
- R Mathis 002 LLC's practice location on file with NPPES is 2830 Reidville Rd, Spartanburg, SC 29301-5640.
- What is R Mathis 002 LLC's phone number?
- The practice phone number listed in the NPPES registry for R Mathis 002 LLC is (864) 574-0762.
- Who is the authorized official for R Mathis 002 LLC?
- The authorized official listed on R Mathis 002 LLC's NPPES record is Dallas Burnett, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is R Mathis 002 LLC's NPI active?
- Yes — R Mathis 002 LLC's NPI (1124664743) is active in the NPPES registry as of the last update on 2021-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.