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Sea Glass Periodontics of Simpsonville LLC

Periodontics in Simpsonville, SC · enumerated 2020 · authorized official Beth Illsley, Director of Insurance.

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

National Provider Identifier

1295344646

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Registry record

Entity type Organization (Type 2)
Legal business name Sea Glass Periodontics of Simpsonville LLC
Parent organization Sea Glass Periodontics
Practice address 110a Hospital Dr, Simpsonville, SC, 29681
Phone (864) 757-8820
Fax (864) 751-6387
Enumeration date Jul 30, 2020
Last updated in NPPES Jul 30, 2020

Taxonomy & classification

1223P0300X Periodontics Dental Providers Primary

Authorized official

Name Beth Illsley
Title Director of Insurance
Phone (864) 282-1935

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Sea Glass Periodontics of Simpsonville LLC?
Sea Glass Periodontics of Simpsonville LLC is registered in NPPES as a Periodontics (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-07-30.