OrganizationActive
Prime Dental LLC
NPI 1629621933 · General Practice Dentistry · Anderson, SC
Prime Dental LLC is a General Practice Dentistry organization in Anderson, SC (NPI 1629621933).
Provider details
- NPI number
- 1629621933
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Prime Dental LLC
- Organization subpart
- Yes
- Authorized official
- Asa Shirley, Owner/Dentist(864) 332-1266
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 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
4130 Clemson Blvd
Anderson, SC 29621
Phone: (864) 332-1266
Fax: (864) 261-6988
Street-level locationGet directions
Mailing address
4130 Clemson Blvd
Anderson, SC 29621
Registry dates
- Enumerated
- 2019-07-17
- Last updated
- 2019-07-17
Frequently asked questions
- What is Prime Dental LLC's NPI number?
- Prime Dental LLC's National Provider Identifier (NPI) is 1629621933, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Dental LLC?
- Prime Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Prime Dental LLC located?
- Prime Dental LLC's practice location on file with NPPES is 4130 Clemson Blvd, Anderson, SC 29621.
- What is Prime Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Dental LLC is (864) 332-1266.
- Who is the authorized official for Prime Dental LLC?
- The authorized official listed on Prime Dental LLC's NPPES record is Asa Shirley, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Dental LLC's NPI active?
- Yes — Prime Dental LLC's NPI (1629621933) is active in the NPPES registry as of the last update on 2019-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.