Providence Dental Group LLC
NPI 1760502181 · Dental Clinic/Center · Simpsonville, SC
Providence Dental Group LLC is a Dental Clinic/Center organization in Simpsonville, SC (NPI 1760502181).
Provider details
- NPI number
- 1760502181
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Makowski, Member(864) 675-6445
- License
- SC 3724 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2020-08-22
Frequently asked questions
- What is Providence Dental Group LLC's NPI number?
- Providence Dental Group LLC's National Provider Identifier (NPI) is 1760502181, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Dental Group LLC?
- Providence Dental Group LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Providence Dental Group LLC located?
- Providence Dental Group LLC's practice location on file with NPPES is 220 Bridges Rd, Simpsonville, SC 29681-5700.
- What is Providence Dental Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Dental Group LLC is (864) 675-6445.
- Who is the authorized official for Providence Dental Group LLC?
- The authorized official listed on Providence Dental Group LLC's NPPES record is Jason Makowski, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Dental Group LLC's NPI active?
- Yes — Providence Dental Group LLC's NPI (1760502181) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.