OrganizationActive
Pediatric Dentistry of Greenville,p.a.
NPI 1902884984 · Pediatric Dentistry · Greenville, SC
Pediatric Dentistry of Greenville,p.a. is a Pediatric Dentistry organization in Greenville, SC (NPI 1902884984).
Provider details
- NPI number
- 1902884984
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kim Martinez, Office Assitant(864) 232-1574
- License
- ZA9916 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
410a Pelham Rd
Greenville, SC 29615-3502
Phone: (864) 232-1574
Fax: (864) 232-6800
Street-level locationGet directions
Mailing address
410a Pelham Rd
Greenville, SC 29615-3502
Registry dates
- Enumerated
- 2006-01-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pediatric Dentistry of Greenville,p.a.'s NPI number?
- Pediatric Dentistry of Greenville,p.a.'s National Provider Identifier (NPI) is 1902884984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentistry of Greenville,p.a.?
- Pediatric Dentistry of Greenville,p.a. is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dentistry of Greenville,p.a. located?
- Pediatric Dentistry of Greenville,p.a.'s practice location on file with NPPES is 410a Pelham Rd, Greenville, SC 29615-3502.
- What is Pediatric Dentistry of Greenville,p.a.'s phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentistry of Greenville,p.a. is (864) 232-1574.
- Who is the authorized official for Pediatric Dentistry of Greenville,p.a.?
- The authorized official listed on Pediatric Dentistry of Greenville,p.a.'s NPPES record is Kim Martinez, Office Assitant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentistry of Greenville,p.a.'s NPI active?
- Yes — Pediatric Dentistry of Greenville,p.a.'s NPI (1902884984) 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.