OrganizationActive
Pine Street Dental LLC
NPI 1790207801 · General Practice Dentistry · Spartanburg, SC
Pine Street Dental LLC is a General Practice Dentistry organization in Spartanburg, SC (NPI 1790207801).
Provider details
- NPI number
- 1790207801
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Omar Figueroa-Valle, Owner(864) 582-5000
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
364 S Pine St Ste A101
Spartanburg, SC 29302-2654
Phone: (864) 582-5000
Fax: (864) 582-3756
Street-level locationGet directions
Mailing address
364 S Pine St Ste A101
Spartanburg, SC 29302-2654
Registry dates
- Enumerated
- 2017-07-10
- Last updated
- 2022-07-21
Frequently asked questions
- What is Pine Street Dental LLC's NPI number?
- Pine Street Dental LLC's National Provider Identifier (NPI) is 1790207801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Street Dental LLC?
- Pine Street Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Pine Street Dental LLC located?
- Pine Street Dental LLC's practice location on file with NPPES is 364 S Pine St Ste A101, Spartanburg, SC 29302-2654.
- What is Pine Street Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Pine Street Dental LLC is (864) 582-5000.
- Who is the authorized official for Pine Street Dental LLC?
- The authorized official listed on Pine Street Dental LLC's NPPES record is Omar Figueroa-Valle, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Street Dental LLC's NPI active?
- Yes — Pine Street Dental LLC's NPI (1790207801) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.