OrganizationActive
Reedy River Dentistry
NPI 1962109595 · Dental Clinic/Center · Greenville, SC
Reedy River Dentistry is a Dental Clinic/Center organization in Greenville, SC (NPI 1962109595).
Provider details
- NPI number
- 1962109595
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Hicklin, Owner(864) 272-3091
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1803 Augusta St Ste a
Greenville, SC 29605-2980
Phone: (864) 272-3091
Fax: (864) 272-3093
Street-level locationGet directions
Mailing address
1803 Augusta St Ste a
Greenville, SC 29605-2980
Registry dates
- Enumerated
- 2023-02-14
- Last updated
- 2023-02-14
- Certified
- 2023-02-14
Frequently asked questions
- What is Reedy River Dentistry's NPI number?
- Reedy River Dentistry's National Provider Identifier (NPI) is 1962109595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Reedy River Dentistry?
- Reedy River Dentistry is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Reedy River Dentistry located?
- Reedy River Dentistry's practice location on file with NPPES is 1803 Augusta St Ste a, Greenville, SC 29605-2980.
- What is Reedy River Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Reedy River Dentistry is (864) 272-3091.
- Who is the authorized official for Reedy River Dentistry?
- The authorized official listed on Reedy River Dentistry's NPPES record is Jonathan Hicklin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Reedy River Dentistry's NPI active?
- Yes — Reedy River Dentistry's NPI (1962109595) is active in the NPPES registry as of the last update on 2023-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.