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Prime Dental LLC

General Practice Dentistry in Anderson, SC · enumerated 2019 · authorized official Asa Shirley, Owner/Dentist.

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

National Provider Identifier

1629621933

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Registry record

Entity type Organization (Type 2)
Legal business name Prime Dental LLC
Parent organization Prime Dental LLC
Practice address 4130 Clemson Blvd, Anderson, SC, 29621
Phone (864) 332-1266
Fax (864) 261-6988
Enumeration date Jul 17, 2019
Last updated in NPPES Jul 17, 2019

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Asa Shirley
Title Owner/Dentist
Phone (864) 332-1266

Other identifiers

Identifier Type State Issuer
ZZ2657 Other SC -
218632 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 Prime Dental LLC?
NPPES lists Asa Shirley (Owner/Dentist) as the authorized official for this organization.
What is the NPI number for Prime Dental LLC?
The NPI for Prime Dental LLC is 1629621933, 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 2019-07-17.