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NPI 1154012722

OrganizationActive

Genesis Smiles, LLC

NPI 1154012722 · Pediatric Dentistry · Laurens, SC

Provider details

NPI number: 1154012722
Entity type: Organization
Primary specialty: Pediatric DentistryDental Providers
Organization subpart: No
Authorized official: Bhavna Pahel, Managing Member(864) 715-3200

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221X
Dental Providers

Practice location

810 E Main St Ste G

Laurens, SC 29360-3547

Phone: (864) 715-3200

Approximate (ZIP-level) locationGet directions

More SC providers

Mailing address

10 Belgian Blue Way

Fountain Inn, SC 29644-7912

Other names (DBA / former)

Doing business as: Genesis Smiles Pediatric Dentistry

Registry dates

Enumerated: 2023-05-16
Last updated: 2023-07-01
Certified: 2023-07-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Genesis Smiles, LLC — NPI 1154012722, Laurens, SC | NPI Central