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Greenville Pediatric Dentistry PA

Pediatric Dentistry in Greenville, SC · enumerated 2006 · authorized official Tammy Porter, Insurance Claims Manager.

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

National Provider Identifier

1366522922

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Registry record

Entity type Organization (Type 2)
Legal business name Greenville Pediatric Dentistry PA
Other name <Unavail>
Practice address 1376 Cleveland St, Greenville, SC, 29607
Phone (864) 250-1100
Fax (864) 250-1604
Enumeration date Oct 17, 2006
Last updated in NPPES Jun 10, 2010

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers Primary

Authorized official

Name Tammy Porter
Title Insurance Claims Manager
Phone (864) 250-1100

Other identifiers

Identifier Type State Issuer
ZA9752 Medicaid SC -

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 Greenville Pediatric Dentistry PA?
Greenville Pediatric Dentistry PA is registered in NPPES as a Pediatric Dentistry (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-06-10.