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Greenville Youth Dentistry, LLC

General Practice Dentistry in Greenville, SC · enumerated 2006 · authorized official Jenell Stump, Manager, Licensing & Credentialing.

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

National Provider Identifier

1477595759

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Registry record

Entity type Organization (Type 2)
Legal business name Greenville Youth Dentistry, LLC
Practice address 225 S Pleasantburg Dr, Suite E10, Greenville, SC, 29607
Phone (864) 233-7737
Fax (864) 233-6559
Enumeration date Jun 12, 2006
Last updated in NPPES Jul 9, 2014

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Jenell Stump
Title Manager, Licensing & Credentialing
Phone (615) 750-0343

Other identifiers

Identifier Type State Issuer
ZA9485 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

Who is the authorized official for Greenville Youth Dentistry, LLC?
NPPES lists Jenell Stump (Manager, Licensing & Credentialing) as the authorized official for this organization.
What is the NPI number for Greenville Youth Dentistry, LLC?
The NPI for Greenville Youth Dentistry, LLC is 1477595759, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-09.