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Dental Professionals of South Carolina, P.C.

Dentist in Greenville, SC · enumerated 2015 · authorized official Cassandra Petersen, Credentialing Team Lead.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013302785

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Registry record

Entity type Organization (Type 2)
Legal business name Dental Professionals of South Carolina, P.C.
Other name <Unavail>
Practice address 303 Ashby Park Ln, Greenville, SC, 29607
Phone (864) 987-5578
Fax (864) 987-0351
Enumeration date Mar 31, 2015
Last updated in NPPES May 7, 2018

Taxonomy & classification

122300000X Dentist Dental Providers · License 3791 (SC) Primary

Authorized official

Name Cassandra Petersen
Title Credentialing Team Lead
Phone (217) 540-8972

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-05-07. Verify at npiregistry.cms.hhs.gov.
Where is Dental Professionals of South Carolina, P.C. located?
The practice location on file with NPPES is in Greenville, SC.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-05-07.